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June 2018

Addressing avoidable use of the emergency room

Emergency rooms are an important part of our health care system. However, many people misunderstand their purpose and visit the ER when other options are available.

Avoidable ER use is defined as using the ER for symptoms or conditions:

  • That aren’t true emergencies
  • Could be treated by a primary care doctor
  • Are preventable with better health condition management

The Federal Employee Program® offers alternative options for nonemergency services. Telehealth services through Teladoc® and the 24/7 Nurse Line are available to FEP members. They can also seek care for minor medical issues from Preferred primary care doctors, retail clinics and urgent care centers.

View the FEP Appropriate Site of Service Quick Reference Guide to help educate your FEP patients on the appropriate use of the ER and where they can go for care, day or night.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.