Emergency Room Costs Insurance Blue Cross Blue Shield
I want to get started | I'm looking for virtual care | I'm looking for in-person care | I'm looking for emergency care
Knowing which care option to choose can help you save time and money. From $0 virtual consults to urgent care, we give you access to a quality network of healthcare providers.
Here's how to find the most cost-effective care when you need it, where you need it.*
Start here:
Primary doctor
The best place to start when you need care is with your primary doctor (also known as your primary care physician or PCP). This is your main healthcare provider for routine medical needs.
Your primary doctor can treat common medical conditions and provide preventive care, annual physicals or wellness visits, and referrals to a specialist if needed.
Find a primary doctor
Specialists
From cardiology to gynecology, we give members access to a wide range of medical specialists.
With many specialist areas to choose from in our Find a Doctor tool, we can help you find a doctor to help with your specific healthcare needs.
Find a specialist
Note: While PPO members can refer themselves to any specialist without a referral, HMO members should check their Evidence of Coverage or Certificate of Insurance first.
Mental health care
Whether you're feeling stressed or need a specialist we're here to help.
Get mental health resources
If you're in crisis or have suicidal thoughts, seek help immediately. Please call 911 or go to your nearest emergency room. You can call the National Suicide Prevention line at (800) 273-8255.
Standards for Timely Access to Care
You are entitled to timely access to care. We ask providers to meet these wait time standards.
Telehealth
Telehealth and virtual care options let you speak with medical professionals via phone or video.
Common uses for virtual care include non-emergency conditions such as respiratory infections, cold and flu, allergies, and joint pain. Note: The following services are not available with all medical plans.*
NurseHelp 24/7
Connect with a registered nurse: You can call toll-free anytime or use online chat to ask a registered nurse questions about treating minor illnesses and injuries, or to help you choose the most appropriate treatment at no extra cost.
Talk to a nurse
Teladoc
Board-certified, licensed doctors are available 24/7 in all 50 U.S. states. Speak to doctors by phone or video who can treat non-emergency medical issues and may prescribe medications.
Make an appointment
Adventist Health Virtual Care
Specialist care and services through videoconferencing so you don't have to travel far. This service is available to PPO members only. Adventist Health Virtual Care can be used for more than 20 specialties including cardiology and oncology at specific Adventist Health clinic locations.
Talk to a specialist
In-person care
While virtual care options are becoming more and more popular, we understand that sometimes you may need – or simply prefer – to see a doctor in person.
That's why we offer access to in-person options beyond your primary doctor for both simple and more complex needs.
Urgent care
Walk-in, non-emergency care when your primary doctor is not available. Available to all members ‡ .
Find urgent care
Ambulatory surgery centers (ASCs)
ASCs – also known as outpatient surgery centers – are healthcare facilities that can perform similar procedures traditionally performed in a hospital setting. These are surgeries that are same-day and do not require an overnight stay. ASCs can be used for a range of procedures like general surgery, urology, neurology, and more.
Find an outpatient center
CVS MinuteClinic
A CVS MinuteClinic®* is a walk-in health care at CVS retail locations for non-emergency conditions and immunizations. This service is available to PPO members only. It has the same cost as an office visit after your deductible has been met.
Find a MinuteClinic
Emergency care:
Emergency room
For serious, life-threatening conditions or disabling conditions or injuries, such as trauma, stroke, or heart attack, always go straight to the emergency room or call 911. This is available to all members.
For your other care needs, be sure to consider other in-person options or virtual care.
*Some of the services listed above may not be covered by your medical plan. For more information and complete details on benefits, covered services, or exclusions, please refer to your Evidence of Coverage (EOC) or Certificate of Insurance (COI) or call the customer service number on your Blue Shield member ID card.
‡If you are a Trio HMO member who needs to visit an urgent care center, you may be required to call your doctor's office each time you seek care. HMOs may require your doctor's office to provide authorization before you go to the urgent care center. You must receive care at an urgent care center that is affiliated with your doctor's medical group or IPA, or your plan may not cover the services received.
NurseHelp 24/7 is a service mark of Blue Shield of California.
Active Choice is a registered trademark of Blue Shield of California Life & Health Insurance Company.
Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. Blue Shield of California cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad ni discapacidad. Blue Shield of California 遵循適用的州法律和聯邦公民權利法律，並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。
Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA-controlled substances, non-therapeutic drugs, and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services.
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Page Last Updated 9/19/2021
Source: https://blueshieldca.com/care
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