Get the care you need, when you need it
Know where to go
Your health care needs don’t always follow a schedule. Learn where to go when you or your family needs care, no matter what time or day it is.
Your primary care provider (PCP)
Your PCP is the doctor, physician assistant or nurse practitioner that you’ll see for most of your health care needs. When you’re sick or hurt, always call your PCP first (unless it’s an emergency). Even if you call after hours, someone from the office should be on call and able to help.
Your PCP is listed on your member ID card and in your online profile. He or she will:
- Get to know you and your health history
- Work with you to find specialists, treatment plans and medicines when needed
If you haven’t seen your PCP before, call and make a new patient appointment as soon as you can. It’s a good idea to see your doctor for a checkup when you’re well, so he or she can better treat you when you aren’t.
Change your PCP anytime
1-855-690-7800 (TTY 711)
Health issues can come up when you least expect them. Our toll-free 24/7 NurseLine lets you talk with a registered nurse whenever you have health questions or need medical advice — day or night, holidays and weekends. Our nurses are here to:
- Advise you on where to go when you need care
- Help you with any health questions you have
- Give you advice about caring for your baby or child
Urgent and after-hours care
An urgent medical condition is when care is needed for a sudden illness, injury or condition that is not an emergency but needs to be treated right away.
You may need urgent care if you have:
- Minor burns
- A very sore throat
- An injury from a fall
- Frequent vomiting
- A cut that’s deep enough to need stitches
- A fever over 101 degrees Fahrenheit
- Muscle sprains or strains
If you need urgent care
- During normal clinic hours, call your primary care provider (PCP).
- After hours and on weekends, call our 24/7 NurseLine at 1-855-690-7800 (TTY 711).
Find an urgent care center near youUrgent Care Centers Directory
Emergencies are times when there could be serious danger or damage to your health if you don’t get medical care right away. If you need emergency care, call 911 or go to the nearest hospital emergency room (ER).
Go to the ER if you:
- Have chest pains
- Have trouble breathing
- Are bleeding badly
- Are pregnant and have signs of harm to yourself or your baby like pain, bleeding, fever or vomiting
- Feel like you might hurt yourself or someone else
After an ER or urgent care visit
Call your PCP as soon as you can after you visit the ER or urgent care center. Your PCP can help with your follow-up care.
Emergency room copay
Adults ages 19-64 who are not pregnant and do not have dependent children living in their home will be charged an $8 copay for each visit to the emergency room that is not an emergency. There is no copay for visits that are true emergencies.
You do not have an emergency room copay if you are an Alaskan native or American Indian.