Care Options Guide

Typical scheduling wait time: 1 week

Standard Option Cost: $10 copay for Premium Care Physician; $35 copay for Non-Premium Care Physician

High Option Cost: $15 copay

Treatment:

• Preventive services and vaccinations
• Medical problems or symptoms that are not an immediate or serious threat
• Ongoing medical care for a chronic condition
• Initial concerns related to stress, sleep, mood changes, or emotional well-being

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Typical wait time: A few minutes

Standard Option Cost:

• $0 copay for Doctor On Demand® for first five visits, $10 copay after fifth visit
• $10 copay for Premium Care Physician; $35 copay for Non-Premium Care Physician

High Option Cost: $0 copay for Doctor On Demand and in-network primary care provider

Treatment:

• Cold/flu
• Fever
• Sore throat
• Allergies
• Diarrhea/vomiting
• Rashes
• Urinary tract infections
• Anxiety, depression, or stress

Doctor On Demand by Included Health provides online medical care for urgent care, mental health, and therapy. You must activate your account before your first visit.

Pre-register for our telehealth service, Doctor On Demand

Typical wait time: 15 minutes

Standard Option Cost: $35 copay for in-network clinics

High Option Cost: $15 copay for in-network clinics

Treatment:

• Cold/flu
• Sinus infection
• Allergies
• Vaccinations or screenings
• Minor sprains, burns or rashes
• Headaches or sore throats
• Ear infections

To find a retail or convenient care clinic, like CVS or Walgreens, use our provider directory by clicking the link below and following these steps:

1. Click View Providers
2. Select the Places category
3. Next, choose Clinics
4. Finally, click Convenience Clinic

Find a Clinic

Typical wait time: 20 – 30 minutes

Standard Option Cost: $50 copay for in-network outpatient care, waived if admitted

High Option Cost: $35 copay for in-network outpatient care, waived if admitted

Treatment:

• Cold/flu
• Sore throat
• Infections
• Rashes
• Sprains and strains
• Minor broken bones or cuts
• Mild asthma attacks
• Earaches

Find an Urgent Care Center

If you have an urgent, acute or life-threatening condition, call 911 or go to the emergency room (ER) right away.

Typical wait time: 3 to 12 hours for a non-critical case

Standard Option Cost: 30% of the Plan Allowance, waived if admitted to the hospital (deductible applies)

High Option Cost: 10% of the Plan Allowance*, waived if admitted to the hospital (deductible applies)

Treatment:

• Urgent, acute and life-threatening conditions
• Sudden change in vision
• Sudden weakness or trouble talking
• Large, open wounds
• Difficulty breathing
• Severe head injuries
• Heavy bleeding
• Spinal injuries
• Chest pain
• Major burns or broken bones
• Thoughts of harming yourself or others

*Note: There may be additional costs associated with your visit for services such as x-ray, laboratory, pathology and machine diagnostic tests, which are paid under the appropriate Plan benefit.

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