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Knowing where to go for care can save you time and money

When you or a loved one is hurt or ill, you often have four choices about where to go for care:

Doctor's office
Convenience care
Urgent care center
Emergency department

Deciding where to go depends on your situation. Here are some things to keep in mind to help you choose wisely.


Doctor's Office/Primary Care Clinic


For non-emergency situations, it's best to go to your primary care doctor or clinic for care. Your doctor knows you and your health history; has access to your medical records; and can provide follow-up care or refer you to specialists if necessary. Many primary care clinics offer extended hours and weekend appointments. And most clinics have staff on-call after hours that can help you get the care you need.


Compare single-visit costs

Fast Facts

For comprehensive care of illnesses and injuries as well as preventive, routine and chronic care 
Not for emergencies
Open weekdays and may be open some weeknights and/or weekends
Staffed by doctors, nurses and other licensed providers
If possible, you should call in advance for an appointment

 

 

Convenience Care


Convenience care sites (MinuteClinic® and Target ClinicSM are examples) usually are located in grocery stores, shopping malls, pharmacies and other retail stores.

 

Convenience care sites are staffed by licensed providers who can diagnose and recommend treatment for certain minor illnesses such as sore throats and ear infections for people older than 18 months.


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Fast Facts

For a limited number of common minor ailments
Not for emergencies
Not designed to provide continuous/follow-up care or treatment
Open weekdays and often weeknights, weekends and/or holidays
Staffed by licensed providers such as nurse practitioners. (Note: A medical doctor is not usually on site.)
Patient must be older than 18 months
You don't need an appointment

 

 

Urgent Care Center


Urgent care centers offer a readily accessible care option for minor ailments that require immediate attention. Urgent care centers are staffed with doctors and nurses who can care for a variety of illnesses and injuries, including sprains and strains, minor broken bones, mild asthma attacks, minor infections and rashes, small cuts, ear infections and sore throats.


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Fast Facts

For minor ailments that require immediate care
Not for emergencies
Not designed to provide continuous/follow-up care or treatment
Open weeknights and often weekends and/or holidays
Staffed by doctors, nurses and other licensed providers
You don't need an appointment

 

 

Emergency Department


Emergency departments are located in hospitals. The emergency department is for true medical emergencies. You should not go to an emergency department for minor problems. If you do, you may have to wait a long time because patients with true emergencies are treated first. In addition, emergency care for minor procedures can be more than 10 times as expensive as other care options.

Some examples of when you should go to an emergency department include:

Heavy bleeding
Large open wounds
Warning signs of stroke: sudden dizziness or change in vision, sudden weakness or numbness, trouble speaking or understanding speech
Chest pain
Major burns
Severe head injury

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Fast Facts

For serious or life-threatening health issues
Open 24 hours a day, 365 days a year
Staffed by doctors, nurses and other licensed providers
You don't need an appointment


If your situation seems life-threatening, go to an emergency department immediately or call 911.

 

 

Compare Single-Visit Costs

The table below shows the approximate costs of a single visit for the treatment of several minor conditions at different types of facilities. Cost estimates do not include medications or other follow-up care. Estimates are based on Medica Choice® network contract rates.

Cost Range Key:
Lower Cost
  Medium Cost
  Higher Cost
Single-Visit Costs
Condition Primary Care Clinic (Established Patient) Convenience Care* Urgent Care Center Emergency Department
Allergies
$89
$52
$97
$345
Bronchitis, Acute
$89
$51
$127
$595
Bronchitis, Chronic
$85
$51
$114
$665
Earache
$81
$52
$110
$400
Pharyngitis (sore throat)
$98
$70
$94
$525
Pink Eye
$76
$50
$102
$370
Sinusitis
$85
$50
$112
$617
Strep Throat
$93
$59
$123
$531
Upper Respiratory Infection
$83
$63
$111
$486
Urinary Tract Infection
$89
$53
$110
$665

* Convenience care sites are usually staffed by licensed providers such as a nurse practitioner and do not typically have a medical doctor on site.

 

 

How were these costs calculated?


This information shows the average cost of a single visit for treatment of a minor illness at four different types of facilities—Primary Care Clinic, Convenience Care Site, Urgent Care Center and Emergency Department. Cost estimates do not include medications or other follow-up services. The cost estimates were determined by calculating the average allowed amount on claims submitted for the Medica Choice network with a date of service in 2007.

 

 

Other Helpful Resources

Locating a provider:

Find-A-Doctor
Medica CallLink® nurse line (If covered, the phone number is on your member ID card)
Medica Customer Service (The phone number is on your member ID card)


Questions about your benefits:

Your Plan Document (also available on myMedica.com)
Medica Customer Service (The phone number is on your member ID card)

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

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