If you think you have an emergency, go to the nearest hospital Emergency Room (ER). If you can’t get to the ER, call 9-1-1.
If you need emergency care, you don’t have to get an OK from anyone before you get emergency care.
What if it’s an emergency and I need care after my PCP’s office closes?
Emergencies are times when there could be serious danger or damage to your health if you don’t get medical care right away.
Most PCPs have regular office hours. Check the PSM Provider Directory to see if your doctors’ offices are open. Also, most Primary Medical Groups also have clinics that are open late. For information about your doctors’ hours call the PSM Beneficiary Service Line at 1-866-600-4753 or 1-844-726-3345 TTY (hearing impaired). The phone call is free.
You can get emergency health care any time you need it. Therefore, always carry your ID Card with you, so the doctors will know you have Vital with Plan de Salud Menonita (PSM).
Call TeleCuidado Menonita (Medical Advice Service Line) before you go to the emergency room. Health professionals will answer your medical questions, provide care advice, and help you determine if you should be seen by a doctor right away. They can help you with medical conditions, such as Diabetes or Asthma.
By presenting in the emergency room the call the identification number provided be the TeleCuidado Menonita representative, you may avoid Copayments applicable to facilities outside de PSM Preferred Provider Network. It is important that no Copayments are to be imposed for services to treat an Emergency Medical Condition or Psychiatric Emergency for Medicaid or CHIP benericiaries.
TeleCuidado Menonita (Medical Advice Line)
Toll free: 1-844-736-3345/ TTY (hearing impaired) 1-844-716-3345
Emergencies might be things like:
- Shortness of breath, not able to talk
- A bad cut, broken bone, or a burn
- Bleeding that cannot be stopped
- Strong chest pain that does not go away
- Strong stomach pain that doesn’t stop
- Seizures that cause someone to pass out
- Not able to move your legs or arms
- A person who will not wake up
- Drug overdose
These are usually not:
- Sore throat
- Cold or flu
- Lower back pain
- Stomach ache
- Small, superficial, cuts
- Headache, unless it is very bad and like you’ve never had before
You can also call Vital call center for advice: 1-800-981-2737. Remember that the phone numbers are on the back of your ID Card.