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Emergency Room Visits

WellCare is your trusted partner in care. We want to make sure you know how and where to get care when you need it.

If you get sick or hurt, you have several options that are less expensive than visiting a hospital emergency room. For issues that aren't life threatening but require immediate attention, you can find urgent care centers in our provider directory, called the WellCare Medicare Provider and Pharmacy Directory.

We want you to know that some freestanding medical facilities may look like Urgent Care Centers, but they are actually freestanding Emergency Rooms and charge the same rates as hospitals. You will find freestanding Emergency Rooms under hospital listings in the provider directory, but you won't find them under Urgent Care Centers.

Please consider these options before visiting an emergency room:

Primary Care Provider
Your PCP is your main doctor. If you don't need medical care right away, you can call the office and sched­ule your visit. You may also visit for health issues like asthma or diabetes.

Telehealth
This is your 24-hour access to in-network WellCare providers. It's available when you're at home, at work or on vacation. Get medical advice, a diagnosis or a prescription by phone or video. Call 1-888-570-8304 (TTY: 711) or go to www.mdlive.com to activate your Telehealth benefit or to schedule your online visit.

WellCare's 24/7 Nurse Advice Line
Connect with nurse practitioners to chat about symptoms and get advice on what to do next.
Call the Nurse Advice Line any time of day or night 1-800-581-9952 (TTY: 711).

Call the Nurse Advice Line if you need:

  • Answers to questions about your health
  • To determine whether you should see a doctor immediately

In-Network Urgent Care Centers
Go to these if your PCP's office is closed and you need care for a noncritical health issue like flu symptoms with vomiting, ear infections, high fevers and sprains. Search for in-network Urgent Care Centers with our Find a Provider tool.

These examples show how you could save money by visiting an Urgent Care Center for less critical issues instead of an Emergency Room:

Example 1 WellCare Non-Emergency Emergency
Service Urgent Care Emergency Room
Member Cost $  50.00 $    120.00
Plan Cost $ 150.24 $ 1,287.93
Example 2 WellCare Non-Emergency Emergency
Service Urgent Care Emergency Room
Member Cost $  25.00 $    120.00
Plan Cost $ 142.91 $ 1,265.82

When to go to the Emergency Room:
Please go to the emergency room right away for life-threatening conditions. These include issues like broken bones, bleeding that won't stop, chest pains or heart attack symptoms, labor pains or other bleeding (if pregnant) and shock symptoms (sweat, thirst, dizziness, pale skin).

Others include drug overdose, injecting poison, bad burns, convulsions or seizures and difficulty breathing.

Find a freestanding emergency department in your community.

As a consumer protection measure, freestanding Emergency Rooms are required to post signs that say: "THIS IS A HOSPITAL EMERGENCY DEPARTMENT," and "THIS IS NOT AN URGENT CARE CENTER. HOSPITAL EMERGENCY DEPARTMENT RATES ARE BILLED FOR OUR SERVICES."

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Y0070_WCM_64252E Last Updated On: 7/1/2021
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