HEALTH INSURANCE ADVISORY COMMITTEE UPDATES

Get Treated in the Right Place

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WHEN YOU NEED CARE, YOU HAVE OPTIONS

What do most of us do when we need medical care right away, but it’s not an emergency? Do you try to make an appointment with your primary doc? Sure, but what if it’s the weekend? Head over to your nearby Urgent Care? Okay, but what if it’s overflowing with gross, sick people? Maybe you’re out of town, or worse, out of the COUNTRY? Where do you turn then?

Now let’s say it’s not you that needs care, but rather one of your loved ones. Maybe it’s your toddler. It’s the weekend, at midnight, and you’re visiting family in BFE. Your precious angel has a gnarly rash that your mother-in-law thinks might consume her entire arm if you don’t do something THIS INSTANT! Now where do you turn?

Faced with the uncertainty of where to seek treatment when you (or your family) needs medical care can be daunting. Even a trained medical professional like yourself can feel overwhelmed and confused about where to go.

If you’re like the rest of us at one time or another, you do what all of us have done and then quickly regretted: You take your darling little toddler to the Emergency Room! For a rash. And you and precious angel sit in the waiting room for hours…. waiting, watching the endless parade of other BLS patients pour through the doors, and wondering if you should have made a better healthcare decision that didn’t cost $100 copay, plus extra fees, plus the agony of waiting.

When should you use the emergency room? You already know the answer, but for some reason when we become the patient or, worse, when our loved ones are sick, we all forget logic and common sense. The emergency room shouldn’t be your first choice for seeking care unless there’s a true emergency - a serious or life threatening condition that requires immediate attention or treatment that is only available at a hospital.

So what do you do when you need care right away, but it’s not an emergency?

Fortunately, with our employer-provided health care benefits, you have lots of options. All are available at a fraction of the cost of an ER visit, and with way less waiting. Check out the following options, and challenge yourself to trying one of them within the next 12 months.

ONLINE VISIT:

LiveHealth Online provides 24/7 access to U.S. board-certified physicians, for half the cost of an office visit - just a $10 copay. Anthem members can video chat with a doctor, without an appointment. Physicians can treat a host of common illnesses quickly and effectively through a real-time video visit. They can even send prescription orders to your local pharmacy. Most importantly, you can be seen by a doctor from the comfort of your own home, from work, or while traveling anywhere in the world.

Some examples of conditions that can be treated with an online visit include: Flu, rashes, tooth pain, cold & fever, sore throat, skin infections, pink eye, headache, diarrhea, and allergy care. It’s a great option for care when your doctor isn’t available.

LiveHealth Online also offers psychology and psychiatry sessions. Talk with a therapist from home or wherever you feel safe; or see a psychiatrist and discuss possible medication management needs.

For more information, visit livehealthonline.com

DOCTOR HOUSE CALLS:

Remember the good old days when doctors would make house calls? Nope, me neither! But just like cheesy mustaches and Coors yellow-bellies, house calls are back in style.

HEAL allows Anthem PPO members to see a licensed doctor in your home, office or just about anywhere else from 8 am to 8 pm, 7 days a week.

For just $20 copay, you or any covered family member can see licensed, qualified physicians for primary, preventive and urgent care needs (including post- surgery care, camp physicals, pediatrics, internal medicine, etc.). HEAL allows you to receive care where it’s needed and where you are comfortable. Appointments can be made for several family members at once, and save multiple trips to the doctor or urgent care. Spend more time with a physician and share your unique health history for well-rounded care. 


For more information, visit heal.com

CVS MINUTE CLINIC:

Located in CVS pharmacy and Target stores nationwide, the MinuteClinic is open 7 days a week, including evenings and weekends, with no appointment necessary. The cost is free to all Anthem members - there is no copay ever.

The MinuteClinic family nurse practitioners and physician assistants provide services for both adults and children 18 months and over. And can send a summary of your visit to your primary care provider with your permission.

They offer a broad range of services to keep you and your family healthy. In addition to diagnosing and treating illnesses, injuries and skin conditions, they provide wellness services including vaccinations, physicals, screenings and monitoring for chronic conditions.

There are nearby locations in Seal Beach, Huntington Beach, Anaheim, Torrance, and Buena Park, and anywhere you travel in the USA. Coming soon to CVS on Willow Avenue.

For more information, visit cvs.com/minuteclinic

URGENT CARE:

Urgent care is for serious symptoms, pain, or conditions that require immediate medical attention but are not severe or life-threatening and do not require use of a hospital or ER.

Depending on the severity of the situation, other options such as Anthem’s 24/7 NurseLine, LiveHealth Online, HEAL on- demand doctor house calls and the CVS Minute Clinic can be time- and money-saving alternatives to seeking care at an urgent care facility.

Not all urgent cares accept our insurance. As a matter of fact, depending on the type of coverage you have, you may have to travel quite a distance to find a qualifying urgent care in your area. It is recommended that you identify an in-network urgent care facility near your home and/or work location before you find yourself needing it.

To find an in-network urgent care near you, visit anthem.com


Getting the appropriate level of care when you need it, doesn’t have to be complicated, confusing, or expensive. With these options available to us, treatment can be easy, straightforward, and nearly cost-free.

Avoid the emergency room. Educate your family members about these options, and challenge them to try one or more of them the next time they need care.