Provider Directory
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It is important to have a good relationship with your PCP. They are a great resource when you have questions about your health. Total Health Care USA recommends that you schedule an appointment with your PCP as soon as possible. This will give your PCP a chance to assess your health. If you decide a different PCP is better for you, and would like to change, call us by the end of the month. This ensures you will be able to see your new PCP starting the 1st of the following month. WHAT IS A SPECIALTY CARE PROVIDER A specialty care provider is a doctor that specializes in conditions that may be outside of the scope of your PCP. If you are a new member, and have been receiving care from a specialty care provider, you must notify your PCP as soon as possible for coordination of care. There are services performed by specialty care providers that may require a referral. Be sure to contact your PCP before making an appointment for specialty care to determine if a referral is required. HOW TO ACCESS EMERGENCY SERVICES You are always covered in case of a medical emergency. If you have a life-threatening emergency, go immediately to the nearest emergency room or call 9-1-1. If you’re unsure if the condition requires emergency care, call your doctor for assistance. If your doctor’s office is closed, Total Health Care USA has a Nurse Advice Line that is available to give you around-the-clock medical information and advice. A nurse can recommend if an appointment with your doctor, after hours care, or if the emergency room is the better place for treatment. To speak with a nurse anytime—day or night, call 1-866-330-9368. Some examples of life-threating emergencies: • Heart attack • Uncontrollable bleeding • Poisoning • Pregnancy with vaginal bleeding • Severe shortness of breath If poisoning is suspected, call the Poison Control Center at (313) 745-5711 or 1-800-222-1222. 5 HOW TO ACCESS SPECIAL COMMUNICATION SERVICES If you have a hearing impairment, you may call Total Health Care USA by using the TTY/TTD line at 1-800-649-3777 for assistance. Many of our doctors speak other languages. You may be able to choose a doctor that speaks your preferred language. For assistance finding a doctor that speaks your language, or for a language interpreter, call our Customer Service Department at 1-800-826-2862. HOW TO ACCESS BEHAVIORAL HEALTH SERVICES If you need mental health or substance abuse services call ValueOptions at 1-855-377-2416. A referral from your PCP is not required. HOW TO ACCESS ANCILLARY SERVICES Durable Medical Equipment (DME): If you need DME services contact Metro Medical Equipment Company at 1-800-877-7285. A prescription from your doctor is required. Laboratory Services: Laboratory services are provided by most area hospitals, Quest Diagnosis and Lab Corp. Your doctor will decide which laboratory is better for you. Other Ancillary Services: For a list of mammography, radiography, hearing and audiology, and physical therapy providers, visit our website or call our Customer Service Department. For a complete list of ancillary providers, visit our website at www.THCmi.com or call our Customer Service Department. 6 HOSPITALS Except for in an emergency, your PCP must arrange all hospital care. If you need care, contact your PCP and they will decide which hospital is best for you. Beaumont Hospital - Dearborn Harper University Hospital St John Macomb-Oakland Hospital- 18101 Oakwood Blvd 3990 John R Rd Macomb Campus Dearborn, MI 48124 Detroit, MI 48201 11800 E 12 Mile Rd 313-593-7000 248-745-8040 Warren, MI 48093 586-573-5000 Beaumont Hospital - Farmington Hurley Medical Center Hills One Hurley Plaza St John Macomb-Oakland Hospital- 28050 Grand River Ave Flint, MI 48503 Oakland Campus Farmington Hills, MI 48336 810-262-9000 27351 Dequindre Rd 248-471-8000 Madison Heights, MI 48071 Huron Valley-Sinai Hospital 248-967-7000 Beaumont Hospital - Grosse Pointe 1 Williams Carl Dr 468 Cadieux Commerce, MI 48382 St John River District Hospital Grosse Pointe, MI 48230 248-937-3300 4100 River Rd 313-471-1000 East China, MI 48054 Hutzel Women's Hospital 810-329-7111 Beaumont Hospital - Royal Oak 3980 John R Rd 3601 W 13 Mile Rd Detroit, MI 48201 St Joseph Mercy Oakland Royal Oak, MI 48073 248-745-6000 44405 Woodward Ave 248-898-8000 Pontiac, MI 48341 Karmanos Cancer Institute 248-858-3000 Beaumont Hospital - Taylor 4100 John R Rd 10000 Telegraph Detroit, MI 48201 St Mary Mercy Livonia Taylor, MI 48180 313-578-4402 36475 Five Mile Rd 800-581-9044 Livonia, MI 48154 Mercy Memorial Hospital 734-655-4800 Beaumont Hospital - Trenton 718 N Macomb St 5450 Fort St Monroe, MI 48162 Straith Hospital for Special Surgery Trenton, MI 48183 734-241-1700 23901 Lahser Rd 734-671-3800 Southfield, MI 48034 Pontiac General Hospital 248-357-3360 Beaumont Hospital - Troy 461 W Huron 44201 Dequindre Rd Pontiac, MI 48341 Troy, MI 48007 248-857-7200 248-964-5000 Providence Hospital & Medical Beaumont Hospital - Wayne Centers 33155 Annapolis Ave 16001 W 9 Mile Rd Wayne, MI 48184 Southfield, MI 48075 734-467-4000 248-849-3000 Children's Hospital of MI Providence Park Hospital 3901 Beaubien 47601 Grand River Ave Detroit, MI 48201 Novi, MI 48374 313-745-5437 248-465-4100 Crittenton Hospital Rehabilitation Institute of Michigan 1101 W University 261 Mack Ave Rochester, MI 48307 Detroit, MI 48201 248-652-5000 313-745-1160 Detroit Receiving Sinai Grace Hospital 4201 St Antoine 6071 W Outer Drive Detroit, MI 48201 Detroit, MI 48235 313-745-3000 313-966-3300 Garden City Hospital St John Hospital & Medical Center 6245 Inkster Rd 22101 Moross Garden City, MI 48135 Detroit, MI 48236 734-421-3300 313-343-4000 7 AFTER HOURS CARE CENTERS After Hours Care Centers can save time by treating you quickly with no appointment. After Hours Care Centers are available to treat minor injuries and should be used only when your PCP is unavailable. Conditions that can be treated at After Hours Care Centers include: • Sprains • Sore throat • Minor cuts • Other "just don't feel good" • Coughs conditions If you are not certain of the type of treatment you need, call our Nurse Advice Line for help anytime—day or night at 1-866-330-9368.