Page 23 - LRM.19 Anthem Member Packet

If you need care right away, the ER can be

crowded and may cost more. If it’s not a

medical emergency, try the other choices.

Each clinic or center may have different services. Be sure to call and ask before you go.

Deciding
where to go
when you Nausea, vomiting, diarrhea Minor allergic reactions
need care Who usually provides care Sprains, strains Minor headaches Coughs, sore throat Bumps, cuts, scrapes Rashes, minor burns Minor fevers, colds Ear or sinus pain Burning with urination Eye swelling, irritation, redness or pain
right away Animal bites X-rays Stitches Mild asthma Back pain Vaccinations Cost

Physician assistant $50 - $75
Retail Health clinic • • • • • • • • • • •
or nurse practitioner copay*
Internal medicine,
Urgent Care Center family practice, pediatric • • • • • • • • • • • • • • • • • $50 — $75
copay*
and ER doctors
Some examples of medical emergencies are:
 Any life-threatening or disabling condition  High fever with stiff neck, mental confusion or
 Sudden or unexplained loss of consciousness diffi culty breathing
Emergency Room  Chest pain; numbness in the face, arm or leg;  Coughing up or vomiting blood $200 or more
copay*
diffi culty speaking  Cut or wound that won’t stop bleeding
 Severe shortness of breath  Major injuries
 Possible broken bones

Each clinic or center may have different services available. Be sure to call and ask before you go.

*Average health plan copays. Your health plan may not have an emergency room copay. And, for many members, deductibles and coinsurance may apply, which can make an even greater difference in the cost
you incur for an emergency room visit versus an alternative site of care.

Let a nurse help you decide Wondering where to go?

1. Call our 24/7 NurseLine . The number is on the back of To fi nd a doctor’s offi ce or clinic near you, go to
SM **
your ID card. anthem.com/eralt/wi or call Customer Service at the
2. A nurse will help you decide which type of care makes the number on the back of your ID card. (Customer Service
most sense. business hours may vary.)

At Anthem Blue Cross and Blue Shield, we’re always looking for new ways to save you time and money, and help you get more
value from your health care.

**Call customer service on the back of your ID card to see if 24/7 NurseLine is available on your plan.

Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield of Wisconsin (BCBSWi), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation (Compcare), which underwrites or administers the HMO policies; and
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Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are
registered marks of the Blue Cross and Blue Shield Association.