Wellcare Dual Align (HMO D-SNP): 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 an in-network provider is unavailable.

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Cost
$45 copay
Prior Authorization Required
No
Provider Referral or Order Required
No

How To Receive

Details on how to apply

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


You may also contact the Nurse Advice Line at any time. A nursing professional is standing by with answers to your questions 24 hours a day, 7 days a week for assistance with health-related questions.

  • You can reach the Nurse Advice Line by calling Member Services at 1-800-431-9007 (TTY users should call 711) for transfer to the Nurse Advice Line

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 in-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 an in-network provider then the plan will cover the urgently needed services from a provider out-of-network.

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