By Dr. Mayrene Hernandez, Medical Director, UnitedHealthcare of South Florida
If you start having chest pains or receive a head injury, you probably realize you should go to the emergency room (ER) right away.
But for medical issues that are urgent but not an emergency – such as a sinus infection or an ankle injury – many people aren’t sure whether they should go to the emergency room, a walk-in care center or their primary care physician (PCP). One way to make the right choice is to think of the “three Cs”: condition, convenience and cost.
Condition:
The seriousness of your condition is the most important concern. If you experience a life-
threatening illness or serious injury, seek care at the ER immediately. Illnesses and injuries that require an ER visit include head injuries, coughing up or vomiting blood, severe burns, paralysis and chest pains. Less urgent health issues such as a fever, flu, earache, pink eye, urinary tract infection and colds can be treated either at a walk-in care center or your doctor’s office. Most walk-in care centers can also perform X-rays, electrocardiogram tests, blood tests, minor surgery, stitches, and treatment for broken bones and sprains.
Convenience:
The second factor to consider is convenience. Primary Care Physicians (PCP) often have limited office hours and require an appointment. But for some medical conditions, waiting for an appointment may be difficult. For example, if you wake up with a urinary tract infection on Saturday morning, it may be very uncomfortable to wait until Monday for a doctor’s appointment. Walk-in Care Centers are typically open seven days a week and don’t require an appointment. Emergency rooms are open 24/7, but often have long wait times for non-emergency care.
Cost:
Third, consider the cost. Under most health benefit plans, patients pay a low or no co-pay to visit their PCP. A visit to a walk-in care center typically has a higher co-pay, but costs less than the ER. In addition, tests and treatments performed at the ER are usually more expensive than if they were performed at an outpatient center. According to UnitedHealthcare data, in Florida the average cost for a non-emergency ER visit is $1,500 to $2,000, compared to $150 to $200 on average for a visit to an urgent care center.
The most important factor in choosing the right care setting is that you get the care you need. Choosing the right place for you – depending on your condition, convenience and cost – can make a big difference and save you money.
Dr. Mayrene Hernandez is part of UnitedHealth Group’s South East Clinical Services Leadership Team, where she oversees hospital inpatient management as one of the medical directors for Orlando as well as serving as the Market Medical Director for UnitedHealthcare Orlando and South Florida.
The Internet has transformed how people purchase goods and services, and it is doing the same for health care. Some new online and mobile services enable people to comparison shop for health care based on quality and cost. The Health4Me app, available on iPhone and Android devices, enables users to identify nearby health care providers and facilities, as well as compare quality and estimated cost information for more than 850 common medical services.