2023 Benefits Guide Where to Seek Care (continued) Preventive Care The Affordable Care Act requires that health plans cover Go to Urgent Care certain in-network preventive services at no cost to the • Moderate fever member. As such, your medical plan covers preventive services at 100% when performed by an Anthem provider. • Colds, cough or flu Some covered services include: • Bruises and abrasions • Physicalexam • Cuts and minor lacerations • Immunizations based on guidelines for your • Minor burns and skin irritations age • Paptests • Eye, ear, or skin infections • Mammogram, based on guidelines for your • Sprains or strains age • Possible fractures • Colonoscopy, based on guidelines for yourage • Prostate cancer screening, based on • Urinary tract infections guidelines for yourage • Respiratory infections • Tests for cholesterol and bloodpressure When you need help in a hurry, you have choices. Of or course, when it’s a life-threatening problem, you should Go to Emergency Room call 911 or go straight to the nearest hospital emergency room (ER). Emergency Care vs. Urgent Care • Heart attack or stroke • Chest pain or intense pain When you need help in a hurry, you have choices. Of • Shortness of breath course, when it’s a life-threatening problem, you should • Severe abdominal pain call 911 or go straight to the nearest hospital emergency • Head injury or other major trauma room (ER). • Loss of consciousness In the ER, true emergencies are treated first, so unless your • Major burns or severe bleeding life is in danger, you’ll wait – sometimes for hours. The ER • One-sided weakness or numbness is also the most expensive option for care. • Open fractures For non-life-threatening problems, call your doctor, call • Poisoning or suspected overdose Teladoc, or go to an urgent care center. 13 WestCare