Being an Ambetter member means getting the care you need, when you need it. But every situation is different. Are you sick? Injured? Do you need a checkup? Be prepared for any medical situation by taking a look at the care options available to you:
Your primary care provider is your main doctor — the one you see for regular checkups. If your condition isn’t life-threatening, calling your PCP should be your first choice. Use our online Find a Provider tool to find an in-network provider in your area.
Visit or call your PCP if you need:
Telehealth offers convenient, 24-hour access to in-network healthcare providers for non-emergency health issues. You can get medical advice, a diagnosis or a prescription by phone or video. Use Telehealth anytime or schedule an appointment wherever and whenever you need it. Set up your Ambetter Telehealth account at Teladoc.com/Ambetter.
Contact Telehealth for illnesses such as:
Talk to a registered nurse any time of the day or night with this free service. The 24/7 Nurse Advice Line provides quick, reliable advice for medical situations that aren’t life-threatening.
Call the 24/7 Nurse Advice Line if you need:
If you can’t wait for an appointment to see your PCP, an urgent care center offers fast, hands-on care for health conditions or injuries that require immediate attention. Be sure to visit an in-network urgent care center to avoid paying out-of-pocket costs.* Use our online Find a Provider tool to find an in-network urgent care facility in your area.
Use urgent care for medical issues such as:
*Always refer to your Schedule of Benefits to make sure you understand the costs you may be responsible for if you choose a provider or service outside of our network.
Go to the emergency room or call 911 if your condition is life-threatening. If you have a serious accident or illness, the ER may save your life. But if your situation isn’t life-threatening, you may receive more prompt care through one of the other options available to you. Plus, visiting the ER may increase your out-of-pocket costs significantly.
CALL 911 or get to an ER if you experience:
In-Network means the doctor, pharmacy or facility is included in the Ambetter network. You should always try to use in-network services and providers.
Out-of-Network means the doctor, pharmacy or facility is not included in the Ambetter network — and isn’t covered by your health plan. You’ll likely pay more for those out-of-network services and providers.
Always have your member ID card with you when you receive medical care.
