Who is this for?
If you're a Blue Care Network member, this information will help you learn more about getting emergency care.
If you have an emergency and taking the time to call your primary care physician may mean permanent damage to your health, call 911 or go directly to the nearest emergency room.
We cover emergency care for:
- Accidental injuries are traumatic injuries which, if not immediately diagnosed and treated, could result in permanent damage to your health. The injury requires immediate medical attention, such as broken bones, sprains, severe cuts, poisoning and burns.
- Medical emergencies are conditions that appear suddenly and show signs and symptoms such as severe pain, where the absence of immediate medical attention could reasonably result in serious jeopardy to your health. If you're pregnant, it would be reasonable to expect that the emergency could jeopardize the pregnancy.
After the emergency has passed, your primary care physician can arrange appropriate follow-up care. Tell your doctor about your emergency within 24 hours or as soon as possible. If you cannot make the call, ask the hospital or someone acting for you to make the call.
Most hospitals bill us directly for emergency services provided to our members. If you happen to receive a bill, send it to us with an explanation of the service and your paid receipt. Use the Member Reimbursement form.