Since Blue Cross's founding in 1929 and the merger with Blue Shield in 1982, they have grown into an association consisting of thirty-six health insurance companies and affiliates in their federation, including Anthem, Highmark, CareFirst, and Regence. That makes them one of the most common health insurers in the United State, even internationally. The main reason is that patients can find healthcare services in over 170 countries. Over 106 million people throughout the country can make policy claims through Blue Cross Blue Shield (BCBS) with their memberships.
As a BCBS member, when you're sick or injured after office hours, urgent care centers are an excellent alternative to visiting an emergency room (ER), or waiting until you can see your primary care doctor. When you visit these locations, you'll find physicians and other qualified healthcare providers available to assist with a broad range of medical issues. These issues include everything from administering vaccines to treating the flu to performing x-rays.
According to statistics by Blue Cross Blue Shield, 54.3 out of every 1,000 members visited the emergency room between 2011 and 2015. Patients visiting a physician's office for minor conditions equaled 973 per 1,000 members. What many patients may not realize is their out-of-pocket costs for going to urgent care is less than visiting the emergency room. Urgent care centers are optimal when you need care that isn't life-threatening. As an HMO member, your urgent care visit has coverage so long as you visit an approved center. Be sure you have your Blue Cross Blue Shield ID card with you at the time of your visit.
If you're unsure if Blue Cross Blue Shield will cover the urgent care near you, call their 1-800 number or visit the company's website. Remember, consulting your BCBS affiliate is your best recourse for receiving specific details regarding services.
When you’re feeling sick or are injured, there are several places you can go for medical care: a doctor’s office, an urgent care center, a retail health clinic or the emergency room. Here’s a quick guide to help you know where to go, based on the urgency of your ailment and your budget. BCBS members can can visit the Blue Cross Blue Shield Provider Finder to find in-network providers. This includes doctors, dentists, hospitals, urgent care centers, and more. You can also log into your local BCBS company's site.
The Doctor’s Office Is Your First Option for Non-Emergencies
Your primary care doctor should be your first call in non-emergency situations. Your doctor knows you and your health history, including what medications you are taking and what chronic conditions might need to be considered in your treatment. Plus, the co-pay for a visit to your doctor’s office will cost far less than a trip to the emergency room. This option can also help you avoid the long wait times typically found in an emergency room. Even if your doctor is unavailable or not an expert in the area of care you need, he or she can refer you to a specialist or another medical professional.
If you don’t have a primary care doctor, take some time to review the options in your network and select one. If you are a BCBS member, you can use the Blue Cross Blue Shield Provider Finder to help your research. You can also read our tips on how to choose a doctor that’s right for you.
Urgent Care Centers and Retail Health Clinics Offer Affordable Alternatives
If you can’t reach your doctor or need care outside of regular office hours, urgent care centers and retail health clinics are good options. Retail health clinics are walk-in clinics found in many large pharmacies and retail stores. They are staffed by nurse practitioners and physician assistants and are designed to treat simple conditions, like cold and flu, ear infections and skin conditions. Urgent care centers have physicians on staff and can provide care for a greater range of conditions, including performing x-rays.
In most cases, the out-of-pocket cost for visiting a retail health clinic or urgent care center will cost less than a trip to the emergency room, but it’s always a good idea to check to make sure the location you select is covered by your plan. BCBS members can use the Blue Cross Blue Shield Provider Finder to locate in-network facilities. You can find a list of the urgent care centers in your network on your Blue Cross Blue Shield (BCBS) company’s website, or by calling the 1-800 number on the back of your member ID card.
24-Hour Nurse Lines Provide Phone Consultations
Many BCBS companies also offer a 24-hour nurse line, which you can call any time with questions about your symptoms, complications from medication or advice on when to go to the doctor or emergency room. Check the back of your member ID card or your local BCBS company’s website for more information.
Emergency Rooms Treat Serious Issues
Emergency rooms are designed to treat urgent, acute and life threatening conditions and aren’t the place for routine care or minor ailments. If you feel you are dealing with a health emergency, call 911 or go to the emergency room right away. Otherwise, one of the above options will save you time and money, and clear the way for patients in need of emergency treatment. BCBS members can use the Blue Cross Blue Shield Provider Finder to find nearby emergency rooms.