You'll have different access standards and rules for the type of care you need.
Your costs will vary based on type of care. Visit Health Plan Costs for more detailed cost information.
Emergency Care
Go to the nearest emergency roomThe hospital department that provides emergency services to patients who need immediate medical attention. or call 911 (or the Medical Assistance Number if overseas).
Call your PCM or regional contactor within 24 hours.
Urgent Care
Urgent care is care needed for conditions such as a sprain, sore throat or rising temperature.
You can expect to get an urgent care appointment within 24 hours (1 day), even if you are traveling.
Routine Care
Routine (primary) care includes general office visits for the treatment of symptoms, chronic or acute illnesses and diseases and follow-up care for an ongoing medical condition.
You can expect to receive a routine care appointment within 1 week (7 days).
Specialty Care
You can expect to get a specialty care appointment within 4 weeks (28 days).
Preventive Care
Preventive services are health screenings, tests and examinations.
You'll usually get these during regular office visits.
You can expect to get an appointment within 4 weeks (28 days).
