Urgent Care Options
Visiting the ER is time consuming and expensive. But did you know that according to NEHI, the New England Health Institute, 56% of all visits are avoidable?
We all have minor illnesses and accidents. There are times when we need care right away, but it’s not life threatening. Harvard Pilgrim offers a variety of options for you to get care in a different setting than the ER, no matter where you live or work, that will save you time and money.
If you think you’re having a medical emergency, call 911 or go to the nearest ER.
Common medical emergencies that should be treated in an ER include:
- Heart attack
- Loss of consciousness
- Major blood loss
- Severe abdominal pain
- Severe head trauma
See if you can get a same-day appointment.
If you seek care outside your PCP office, please request that the provider share documentation with your PCP to better manage your care.
Don't have a PCP? Visit our provider look up tool to search for PCPs near you.
With Doctor on Demand, you can enjoy a virtual doctor visit from the comfort of your living room using live video or voice call via your smartphone, tablet or computer.
Doctor On Demand connects you to a board-certified physician in minutes (availability is more limited during overnight hours) to receive treatment for illnesses or injuries that require immediate attention, but are not life threatening.
Download the Doctor on Demand app to get started.
Common symptoms treated:
- Cold & Flu
- Asthma & Allergies
- Sinus issues
- Upset Stomach
- Skin Issues
- Eye Issues
Typical Out of Pocket Costs:
On most plans, members are responsible for paying the PCP office visit or lowest tier cost share for each visit. Referrals and/or authorizations are not required. To make accessing care and staying healthy during COVID-19 easier, telemedicine for clinically appropriate medically necessary services will be covered in full (no copays, deductibles or coinsurance for all plans).
Available to Harvard Pilgrim members traveling internationally.*
*Urgent care virtual visits are available to members traveling internationally, excluding U.S. territories (Puerto Rico, Guam, U.S. Virgin Islands) and certain other countries (e.g., nations on the U.S. Sanctions List). Physicians will not order prescriptions for patients calling from outside the U.S.
Also known as walk-in clinics or retail clinics (such as MinuteClinic), convenience care clinics provide walk-in care for common illnesses. They are typically staffed by board-certified nurse practitioners and offer availability during evenings and weekends, seven days a week.* And with countless locations, care is often closer than you think. Look up participating providers near you using our provider look up tool.
Common symptoms treated include:
- Ear infections
- Eye infections
- Strep throat
- Skin conditions like poison ivy and ringworm
Typical Out-of-Pocket Costs:
This is a lower-cost alternative to an ER visit and you will be responsible for paying your standard PCP office visit cost share.
To be covered by Harvard Pilgrim, you must go to one of our participating providers. To find a participating provider please visit our provider directory then under Specialty, select Convenience Care Clinic.
* Clinic hours, capabilities and types of services may vary depending on the provider location. Be sure to call and ask before you go.
Urgent care centers are walk-in freestanding facilities.
Urgent care centers provide walk-in service and are typically staffed by physicians, nurse practitioners and physician assistants. Look up participating providers near you. They offer availability during evenings and weekends, seven days a week.*
Common symptoms treated include:
- Coughs, cold and flu
- Minor injuries
- Respiratory infections
- Sprains and strains
You'll typically be responsible for paying a copayment for urgent care. Depending on your plan, the copayment may be higher than for an office visit or a convenience care clinic visit. What you pay out-of-pocket depends on your specific Harvard Pilgrim plan. If you have an HSA plan, your deductible and any additional cost-sharing applies. Please refer to your plan documents for your specific benefit information.
* Center hours, capabilities and types of services may vary depending on the provider location. Be sure to call and ask before you go.
To be covered by Harvard Pilgrim, you must get care at a participating provider. At this link, select your plan, then click Other Care Providers under Search by Provider Type. Under Specialty, select Urgent Care Center.