Saving the ER for Emergencies

Introduction

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For many, summer time means cook-outs, family hikes, and trips to the beach. However, while the good weather brings an increase in outdoor activities, for some it can also mean a trip to the local emergency room (ER).

In times past, that visit could mean a long and sometimes expensive wait. But now, thanks to Anthem Blue Cross and Blue Shield in Maine, those needing non-emergent care can now turn to a growing network of walk-in centers across the state.

"Maine is fortunate to have an excellent network of hospital emergency departments which provide a broad range of critical care services to those in need," says Jeffrey Holmstrom, D.O., medical director, Anthem Blue Cross and Blue Shield in Maine. "But if you have a less serious issue, like a sprained ankle, insect bite, or severe sun burn, a walk-in center may be a far better option and save you time as well as money."

Last summer, Anthem introduced a walk-in center benefit to its members, enabling them to utilize a walk-in center when they needed care for non life-threatening issues. The network now includes 19 centers across Maine. In addition to shorter wait times, members also may see lower out-of-pocket costs by utilizing a walk-in center. "Depending on one's coverage, a standard benefit ER co-pay could be $100 or even higher," said Colin McHugh, vice president, provider engagement and contracting, Anthem Blue Cross and Blue Shield in Maine. "On the other hand, the co-pay at one of these Centers, for the same non-emergent treatment, could be as low as $20."

Dr. Holmstrom, who in addition to serving as Anthem's medical director, maintains an active primary care practice. He said that in addition to lower costs, wait times at a walk-in center are often far shorter than that of an ED for non-critical care. "When possible, we recommend that our members visit their primary care physicians for non-emergency treatment," he noted. "But if that's not an option, it just makes more economic sense to seek out an urgent care clinic or walk-in center where they are available."

Generally, walk-in centers may be used for the following:

• Minor allergic reactions
• Mild asthma
• Coughs, sore throat
• Bumps, minor cuts, scrapes
• Rashes, minor burns
• Sprains, strains
• Minor fevers, colds
• Minor headaches
• Ear or sinus pain
• Burning with urination
• Eye swelling, irritation, redness or pain
• Back pain
• Nausea, vomiting, diarrhea
• Minor animal bites
• Vaccinations
• X-rays
• Stitches

Emergency rooms should be used for those with the following conditions:

• Any life-threatening or disabling condition
• Sudden or unexplained loss of consciousness
• Chest pain; numbness in the face, arm or leg; difficulty speaking
• Severe shortness of breath
• High fever with stiff neck, mental confusion or difficulty breathing
• Coughing or a wound that won't stop bleeding
• Major injuries
• Possible broken bones

Anthem's walk-in center network includes:

Augusta
Concentra, 219 Capitol Street, 866-944-6046

Bangor
Concentra, 34 Gilman Road, 866-944-6046
EMMC Clinic @ WalMart, 900 Stillwater Avenue, 207-947-5254

Berwick
Berwick Medical Services, 4 Dana Drive, 207-698-6700

Brewer
EMMC Clinic @ WalMart, 24 Walton Drive, 207-561-9881
PCHC Brewer Medical Center, 735 Wilson Road, 207-989-1567

East Waterboro
Goodall Express, 10 Goodall Drive, Suite 900, 207-490-7760

Freeport
Freeport Medical Center, 42 Mallet Drive, 207-865-3491

Gorham
Mercy Express Care, 19 So. Gorham Crossing, 207-839-9101

Lewiston
Concentra, 59 East Avenue, 866-944-6046

Norway
Concentra, 29 Winter Street, 866-944-6046

Orono
Orono Medical Center, PA, 303 Main Street, 207-866-5561

Patten
Katahdin Valley Health Center, 59 Bangor Street, 207-528-2285

Portland
Concentra, 1600 Congress Street, 866-944-6046

Presque Isle
Aroostook Medical Center, 23 North Street, 207-760-9278
EMMC Clinic @ WalMart, 781 Main Street, 207-762-3955

Waterville
Express Care, 325C Kennedy Memorial Drive, 207-873-3961

Westbrook
Mercy Express Care, 40 Park Road, 207-857-8174

Windham
Mercy Express Care, 409 Roosevelt Trail, 207-893-0290

As benefits and co-pays may vary based on one's plan, Anthem members should check with their employer for details or call the phone number listed on their back of their identification cards with any questions. Anthem members can also contact the company's 24/7 nurse line at 800-607-3262 to discuss their symptoms with a registered nurse.

"This benefit is part of our ongoing mission to provide our members with quality, cost-effective care in the most appropriate setting," said Mr. McHugh. "We strongly feel that this new program helps support that mission and are excited to collaborate with local providers in this initiative."

Anthem Blue Cross and Blue Shield in Maine is the trade name of Anthem Health Plans of Maine, Inc., an independent licensee of the Blue Cross and Blue Shield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Additional information about Anthem Blue Cross and Blue Shield in Maine is available at www.anthem.com. SOURCE Anthem Blue Cross and Blue Shield in Maine

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Cite This Page (APA): Anthem Blue Cross and Blue Shield in Maine. (2010, July 16). Saving the ER for Emergencies. Disabled World. Retrieved September 19, 2024 from www.disabled-world.com/medical/rehabilitation/er-emergency.php

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