Good news, 2016 MinuteMembers enrolled in our HMO plans! We're making it easier for you to take advantage of urgent care facilities and walk-in clinics, even when traveling outside of our Massachusetts and New Hampshire service areas.
HMO members, if you need urgent care while traveling outside of our service area, you will be covered for urgent care services received at an out-of-plan walk-in health care center or urgent care facility.
O members in Massachusetts, this means that if you are outside our seven-county service area in Massachusetts, you will be covered for urgent care services obtained from an out-of-plan provider. (Please note if you are inside the service area, you will need to see an In-Plan urgent care facility in order to have your services covered.)
For HMO members in New Hampshire, this means that if you are outside our seven-county service area in Massachusetts and nine-county service area in New Hampshire, you will be covered for urgent care services obtained from an out-of-plan provider. (Again, inside the MA and NH service areas, you will need to see an In-Plan provider for urgent care services to be covered.)
All members are covered in emergencies--no matter where they receive services.
When it comes to life-threatening emergencies there is no need to worry about where you receive services. In a medical emergency, you should go to the nearest emergency facility. All emergency room services are covered in life-threatening situations regardless of where you receive services. It's important to know that staying In-Plan for emergency care may involve lower out-of-pocket costs than care received from out-of-plan services and facilities. So if you have a choice, try to stay In-Plan. (You can search for In-Plan Urgent Care Facilities and In-Plan Walk-In Health Care Centers using our
Provider & Pharmacy Search tool.
It's important to know the difference between emergency care and urgent care.
Seek emergency care if your condition is life-threatening. You should call 911 or go to the nearest Emergency Room (ER) immediately. Notify your In-Plan PCP within 48 hours of your emergency care to arrange any necessary follow-up care.
Seek urgent care if you need immediate medical attention but you don't think your condition is life-threatening. When you are in the service area, you can head to an In-Plan walk-in health care center, such as an In-Plan CVS MinuteClinic or In-Plan urgent care facility. Walk-in health care clinics are generally staffed by nurse practitioners or physician assistants, and can help with minor illnesses like colds, strep throat, ear aches and eye infections. Urgent care centers are overseen by physicians and provide care for conditions that are more than minor, like the flu, strains and sprains. If convenient, you can also visit your In-Plan PCP.