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Choosing the Right Care Option for Same Day Medical Care 2021

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Choosing the Right Care Option for Same Day Medical Care 2021 Choosing the Right Care Option For Same Day Medical Care 2021 Need care when your primary care provider (PCP) isn’t available? You have low cost options. If you need immediate care but don’t think you need to go to an emergency room, consider using an alternative same day care option to receive quicker and less expensive care. Remember, if you think you’re having a medical emergency, call 911 or go to the nearest ER. For the most up-to-date list, call HPI Customer Service at 844-926-2262 or visit healthplansinc.com/BMC Doctor On Demand See a doctor 24/7, anytime you need care or have a question. Available where you are, without the hassle of the waiting room. Connect in minutes1 with board-certified doctors and therapists over live video. • Connect face to face using your phone, tablet or computer • Services include medical care, triage/medical advice and mental health care Just like an in-person visit, the doctor takes your history and symptoms, performs an exam and recommends a treatment, including prescriptions and lab work.2 Medical Care How it works Doctors can diagnose, treat and write prescriptions for when 1. Download the app on your you are sick, have an infection, get injured or are in pain. mobile device or access Sick Infection doctorondemand.com/health-plans-inc. • Colds/Coughs • Pink Eye/Conjunctivitis Create your account and enter • Flu • Sinus Infection 2. insurance (choose Health Plans, Inc.) • Fever • Rashes and pre-consult information. • Sore/Strep Throat • Skin Conditions • Vomiting • Urinary Tract Infection 3. Complete a questionnaire of current • Upset Stomach/Nausea • Vaginal/Yeast Infections symptoms and medical history. • Diarrhea Pain 4. Pay cost-share via app or website. Injured • Back Pain • Sports Injuries • Headache/Migraine 5. Consult with a Doctor On Demand • Sprains and Bruises board certified provider. 6. Receive email follow Triage/Medical Advice up after the visit to share with your PCP, or • Should I go to the ER or urgent care? request that it be sent • I have this symptom, do I need to see a doctor? directly to your PCP. • Do I have a cold or allergies? The details of your • My doctor’s office is closed and I have a question. consultation will not be forwarded to your PCP without your Mental Health Care3 consent. From the privacy of your home, Doctor on Demand has a team of mental health providers (psychiatrists and psychologists) you can choose from based on your or Web Video Visits at preferences and clinical needs.4 doctorondemand.com/health-plans-inc 1Availability more limited during overnight hours. 2Doctor On Demand physicians do not prescribe Schedule I-IV DEA controlled substances, and may elect not to treat or prescribe other medications based on what is clinically appropriate. 3Doctor On Demand is not meant for crisis or emergency mental health situations. If you are experiencing a crisis or emergency, call 911 or go to your nearest emergency room. Psychology visits are typically available within 48 hours to one week and psychiatry visits are typically available within 2–3 weeks. 4Doctor on Demand psychiatrists can prescribe medications when necessary for treatment; however, Doctor On Demand does not prescribe any controlled substances. In 1 these cases, alternatives with less potential for abuse and dependence may be offered. Your Same Day Medical Care Options. Understanding Your Options Doctor On Demand (www.doctorondemand.com/health-plans-inc) Doctor video visits from your phone, tablet or computer. BMC Select Plan: $5 Employee BMC Tiered HMO: $5 Copayments 1 Harvard Pilgrim PPO: $5 Triage: Determining if ER or doctor’s visit is required or if you need a COVID-19 diagnostic test Sick: Colds, coughs, congestion, flu, vomiting, diarrhea Medical Care Infection: Pink eye, rash, poison ivy, urinary tract, yeast Coverage Injured: Sports injuries, sprains, bruises Pain: Headache, backache • Treat nearly any non-emergent medical condition. Connect with a physician in minutes; availability more limited during overnight hours. Considerations • Multiple languages available; some languages require an appointment. • Fast and paperless prescription fulfillment to any pharmacy.2 • Lower-cost alternative to ER care. CVS Minute Clinics (www.cvs.com/minuteclinic) Walk-in convenience care inside a CVS pharmacy. BMC Select Plan: $5 Employee BMC Tiered HMO: $5 Copayments Harvard Pilgrim PPO: $5 Preventive: Flu shot and other common pediatric and adult vaccinations (call ahead to confirm availability) Medical Care Sick: Colds, coughs, congestion, flu, vomiting, diarrhea, sore throat Coverage Infection: Pink eye, rash, poison ivy, urinary tract, yeast Injured: Bruises, scratches, bug bites, stings Removal: Splinters, stitches/staples, lice (evaluation and advice), ticks • Walk-in care for common illnesses that typically require straight- forward treatment. • Staffed by nurse practitioners. Considerations • Open seven days a week, including evenings and weekends.3 • Lower-cost alternative to ER care. 1 Due to the coronavirus (COVID-19) pandemic, copayments for telemedicine visits are temporarily waived. 2 Doctor On Demand physicians do not prescribe Schedule I-IV DEA controlled substances, and may elect not to treat or prescribe other medications based on what is clinically appropriate. 3 Clinic hours, capabilities and types of services vary based on individual facility. Be sure to call and ask before you go. 2 Understanding Your Options (continued) Urgent Care Clinic (bmc.healthplansinc.com/members/provider-directory) Walk-in standalone clinics not affiliated with a hospital. If searching online, select Hospitals/Facilities and choose Urgent Care Center. BMC Select Plan: $5 Employee BMC Tiered HMO: $5 Copayments Harvard Pilgrim PPO: $5 Preventive: Flu shot and other common pediatric and adult vaccinations (call ahead to confirm availability) Medical Care Sick: Colds, coughs, flu, vomiting, diarrhea, sore throat, asthma Coverage Infection: Pink eye, rash, poison ivy, urinary tract, yeast, ear Injured: Broken bones, severe cuts, burns, sprains, puncture wounds Pain: Headache, back pain, stomach pain • Level of services provided vary by location. Call ahead to confirm treatment coverage. • Offers medical treatment for illnesses or injuries that require immediate attention but are not life threatening. • Same-day appointments and walk-in service. Considerations • Locations could be staffed by doctors, nurse practitioners, physician assistants and nurses. Varies by location. • Extended hours, including evenings and weekends.1 • Shorter wait times than the ER. • Lower-cost alternative to ER care. Emergency Room (ER) Can visit any hospital emergency room. Use for severe or indeterminate cases. If you think you’re having a medical emergency, call 911 or go to the nearest ER. Employee All plans: $150 copayment, waived if admitted Copayments • Chest pain, seizures, stroke, sudden numbness or weakness, sudden inability to speak, see, walk or move • Difficulty breathing, fainting, dizziness, loss of consciousness, confusion or changes in mental Medical Care status Coverage • Severe head injury, displaced or open wound fractures, broken bones, intense localized abdominal pain • Fever with convulsions or any fever in children under 3 months • Major blood loss, coughing or vomiting blood, blood in the urine, bloody diarrhea • Open 24/7. • Doctors on-site. Considerations • Longer waiting periods due to life-threatening emergencies being treated first. • Costs more than all other Same Day Care Options. 1 Clinic hours, capabilities and types of services vary based on individual facility. Be sure to call and ask before you go. 3 Easy Access Urgent and Retail Care Centers by City/Town The following is a list of participating Easy Access Urgent or Retail Care Centers sorted alphabetically by city or town. (Note: New urgent and retail care center locations may open at any time.) This benefit does not require a PCP referral. However, care from an Easy Access Urgent or Retail Care Centers must be selected from the following list. Please check your "Schedule of Benefits" for additional benefit information. ABINGTON, MASSACHUSETTSto FRANKLIN, MASSACHUSETTS MASSACHUSETTS Bellingham Burlington Chelsea Fairhaven Urgent Care Center Urgent Care Center Urgent Care Center Urgent Care Center Abington Bellingham Urgent Care Partners Urgent Care Beth Israel Deaconess Urgent Southcoast Urgent Care Urgent Care Center 1 WRENTHAM ST 47 MIDDLESEX TPKE Care Center at Chelsea 208 MILL RD STE 180 Bellingham, MA 02019 Burlington, MA 01803 1000 Broadway Fairhaven, MA 02719 South Shore Health Express 508-318-4466 781-365-5999 Chelsea, MA 02150 855-319-0518 170 BEDFORD ST 617-975-6060 Abington, MA 02351 ConvenientMD AFC Urgent Care Tristan Medical PC 781-624-8000 245 HARTFORD AVE 90 MIDDLESEX TPKE 210 WASHINGTON ST Bellingham, MA 02019 Burlington, MA 01803 Chestnut Hill Fairhaven, MA 02719 Acton 774-295-4355 781-270-4700 Urgent Care Center 508-992-5546 Convenience Care Clinic PhysicianOne Urgent Care Beverly Cambridge 1210 BOYLSTON ST Fall River MinuteClinic Convenience Care Clinic Convenience Care Clinic Chestnut Hill, MA 02467 Convenience Care Clinic 344 Great Rd 617-608-3215 Acton, MA 01720 MinuteClinic MinuteClinic MinuteClinic 866-389-2727 19 Dodge St 215 Alewife Brook Pkwy Beth Israel Deaconess Urgent 1620 President Ave Urgent Care Center Beverly, MA 01915 Cambridge, MA 02138 Care Center At Chestnut Hill Fall River, MA 02720 866-389-2727 866-389-2727 200 Boylston St 866-389-2727 Acton Urgent Care Urgent Care Center MinuteClinic Chestnut
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