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 ranging from participating in sports to DIY projects. There are times when we definitely 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.
Is it life threatening?
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
Doctor On Demand - Urgent Care Virtual Visit
You can see a doctor using live video on your smartphone, tablet or computer.
By downloading the app or setting up an account, you can get care without leaving your location. 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.
Common symptoms treated:
- Cold & Flu
- Asthma & Allergies
- Sinus issues
- Upset Stomach
- Skin Issues
- Eye Issues
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.
Download the free app for your mobile device:
Convenience care clinics
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.*
Common symptoms treated include:
- Ear infections
- Eye infections
- Strep throat
- Skin conditions like poison ivy and ringworm
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. 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
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. 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.
* 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 providers. At this link, select your plan, then click Other Care Providers under Search by Provider Type. Under Specialty, select Urgent Care Center.