VNS Health Total: Urgently Needed Services (Urgent Care)

This is not emergency care. This is care provided at an urgent care center or by an out-of-network provider because a network provider is unavailable.

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Cost
$0
Prior Authorization Required
No
Provider Referral or Order Required
No

How To Receive

Details on how to apply

  1. Visit an urgent care center, walk-in clinic, or make an appointment with the nearest, first-available provider to address the urgent medical need.

  2. Arrange for the provider to bill the health plan.

Availability
Ongoing

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Urgently needed services are provided to treat a nonemergency, unforeseen medical illness, injury, or condition that requires immediate medical care but, given the circumstances, may not be possible, or is unreasonable, to obtain services from network providers.

Examples of urgently needed services that the plan must cover out of network are:

Services must be immediately needed and medically necessary. If it is unreasonable given the circumstances to immediately obtain medical care from a network provider then the plan will cover the urgently needed services from a provider out-of-network.

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Helpful is an app to make caregiving easier. We integrate your loved one’s insurance benefits, medical records and caregiving guides into an immediate, accessible and user-friendly experience. Helpful supports your care needs by eliminating administrative tasks and providing technology to support your caregiving experience.