Emergency Care

None of us wants to go through a health crisis. But when you or someone you love does, it’s vital to know what to do.

Emergency care is care for health problems that could result in death and that need urgent help, such as:

  • Sudden dire sickness 
  • Pain, harm or health problems that need urgent care

This kind of care can involve ambulance, health screening, exams and tests by a doctor or proper health care staff. It is for both physical and psychiatric care.

Examples of Emergencies

These are examples of emergencies and include but are not limited to:

  • Having trouble breathing
  • Seizures (uncontrollable violent spasms)
  • Lots of bleeding
  • Loss of consciousness/blackouts (will not wake up)
  • In a lot of pain (including chest pain)
  • Consuming of poison or drug overdose
  • Broken bones
  • Head injury
  • Eye injury
  • Thoughts or actions about hurting yourself or someone else

If you think you have a health emergency, call 911. You do not have to call your doctor before you go to the emergency room. Do not use the emergency room for routine health care.

What to Do in an Emergency

Call 911 or go to the nearest emergency room if you have an emergency. Emergency care is covered at all times and in all places.

When to Go to the ER

Emergency care is care for life- or limb-threatening health issues that need to be treated right away.

If you or someone you know is going through a health or psychiatric emergency, call 911 or go to the nearest emergency room.

If you're not sure if you should visit the emergency room, you can:

  • Call Member Services or your health plan's advice line. They can give you advice on where to go and what to do.

  • Call the Nurse Advice Line 24 hours, 7 days a week.
How to Help a Sick Child

If your child gets a sore throat, cough, cold or flu, here are things you can do:

  • Make sure your child gets lots of rest and sleep.
  • Give your child plenty of fluids to drink.
  • Use a humidifier or salt water nose drops to help with a stuffy nose.
  • Ask your doctor if your child needs cold or cough medicine.

Ask Your Doctor

  • Ask your child's doctor when to go to the emergency room.
  • Since your doctor knows your child's health record, he or she can help you make better choices for your child.

Call Member Services

They can give you advice on where to go and what to do if your child has an:

  • Earache
  • Sore throat
  • Cough
  • Cold
  • Flu