Remember: Emergency rooms are always available when you need them.
For non-emergency concerns, choosing the appropriate care setting can help you get care faster, make the most of your benefits and reduce out-of-pocket costs.
When you or a family member needs medical attention, knowing where to go can help you get the right care at the right time while making the most of your health benefits. Use this guide to decide where to seek care.
Is it life-threatening?
If Yes → Emergency Room or Call 911
The emergency room is the right choice for serious or life-threatening conditions that require immediate attention.
Go to nearest the emergency room for:
- Chest pain or pressure
- Difficulty breathing
- Signs of a stroke, such as sudden weakness, confusion, or trouble speaking
- Severe bleeding
- Major injuries
- Seizures
- Severe burns
- Sudden, severe pain
- Loss of consciousness
When it is an emergency, do not wait to seek care.
If not life threatening…
Do you need care today or soon?
If Yes → Urgent Care or Walk-In Clinic
Urgent care clinics are a good option for illnesses and injuries that need attention but are not emergencies. They often offer same-day care and may have shorter wait times than emergency departments.
Visit urgent care for:
- Cold, flu, or fever symptoms
- Ear infections
- Sinus infections
- Rashes
- Minor cuts and burns
- Sprains and strains
- Minor fractures
- Urinary tract infections
Do you need care today or soon?
If No → Schedule a Visit with Your Primary Care Provider
Your primary care provider (PCP) can help with routine and ongoing healthcare needs, including:
- Preventive care and checkups
- Prescription refills
- Managing chronic conditions
- Health concerns that are not urgent
- Follow-up care
Your PCP knows your health history and can help guide you to the next step if additional care is needed.
When in Doubt, Ask for Guidance
If you are unsure where to go, contact your healthcare provider or use available health plan resources for guidance. Choosing the right care option can help you avoid unnecessary delays, reduce out-of-pocket costs, and ensure you receive the care you need.
Sources: mayoclinic.org