Where should I go for care?

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  • 7/29/2019 Where should I go for care?

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    Where should I go for care?Helping you choose the right care center

    Care Center Why would I use this care center?What type of care

    would they provide?*

    What are the costs** and

    time considerations?**

    Doctors

    Office

    You need routine care or treatment for acurrent health issue. Your primary doctorknows you and your health history, canaccess your medical records, providepreventive and routine care, manage yourmedications and refer you to a specialist, ifnecessary.

    ` Routine checkups

    ` Immunizations

    ` Preventive services

    ` Manage your generalhealth

    ` Often requires a copaymentand/or coinsurance

    ` Normally requires anappointment

    ` Little wait time with scheduledappointment

    ` Physician Office visit: $105

    Convenience

    Care Clinic

    You cant get to your doctors office,but your condition is not urgent or anemergency. Convenience care clinicsare often located in malls or retailstores offering services for minor healthconditions. Staffed by nurse practitionersand physician assistants.

    ` Common infections(e.g., strep throat)

    ` Minor skin conditions(e.g., poison ivy)

    ` Flu shots

    ` Physicals

    ` Minor cuts

    ` Ear aches

    ` Often requires a copaymentand/or coinsurance similar tooffice visit

    ` Walk in patients welcome withno appointments necessary, butwait times can vary

    ` Convenience Care Clinicvisit: $73

    Urgent Care

    Center

    You may need care quickly, but it is not anemergency, and your primary physicianmay not be available. Urgent care centersoffer treatment for non-life threatening

    injuries or illnesses. Staffed by qualifiedphysicians.

    ` Strains and strains

    ` Minor broken bones(e.g., finger)

    ` Minor infections

    ` Minor burns

    ` X-rays

    ` Often requires a copaymentand/or coinsurance usuallyhigher than an office visit

    ` Walk in patients welcome, but

    waiting periods may be longeras patients with more urgentneeds will be treated first

    ` Urgent care center visit: $175

    Emergency

    Room

    You need immediate treatment of a veryserious or critical condition. The ER isfor the treatment of life-threateningor very serious conditions that requireimmediate medical attention. Do not ignorean emergency. If a situation seems lifethreatening, take action. Call 911 or yourlocal emergency number right away.

    ` Heavy bleeding

    ` Large open wounds

    ` Sudden change invision

    ` Chest pain

    ` Sudden weakness ortrouble talking

    ` Major burns

    ` Spinal injuries

    ` Severe head injury

    ` Difficulty breathing

    ` Major broken bones

    ` Often requires a much highercopayment and/or coinsurance

    ` Open 24/7, but waitingperiods may be longerbecause patients withlife-threatening emergencieswill be treated first

    ` Emergency Room visit: $1,300

    If you are not sure where to go, call NurseLineSM at the number on the back of your UnitedHealthcare health plan

    ID Card to speak with a registered nurse 24 hours a 7 days a week. NurseLine nurses can help you with trusted

    information and support for your health care questions and concerns.

    * This is a sample list of services and may not be all-inclusive.

    ** Cost estimates based on internal claims data and time information represents averages only and is nottied to a specific condition or treatment. Your out-of-pocket costs will vary based on plan design.

    Not all treatment facilities are covered equally under all plan designs. Refer to the plan design for completedetails. Some treatments may require pre-authorization or a referral from your Primary care physician.

    Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.Administrative services provided by United HealthCare Services, Inc. or their affiliates.

    515-8734 10/11 2011 United HealthCare Services, Inc.

    UHCEX545680-000