How do I know where to go for care?

When you need care, choosing the right treatment option can help you avoid needless worry, higher out-of-pocket costs and hours of unnecessary waiting. Unless it’s an emergency, your primary care doctor should be your first choice when seeking care. And now, many members can get convenient care right from home for a $0 copay.

Virtual visits with designated primary care doctors and 24/7 care with Teladoc are available for a $0 out-of-pocket cost with most plans. Ask your doctor if they offer virtual visits or  go to www.teladoc.com.

Always go to the nearest ER for life-threatening emergencies. When you need care right away, but it's not life threatening, an urgent care center can cost less than the ER and have shorter wait times.

What do I need to know about in-network doctors?

Think of it this way: in-network is about getting health care from the broad range of providers who are part of your health plan. So, for in-network, that means a group of doctors, hospitals and other health care providers have agreed to give you discounted rates because you're a Florida Blue member. We negotiate for you, so, you’ll have less out-of-pocket costs when you get care. And they can’t send you a bill for more than what has been agreed to--this is called balance billing and you’re safe from it.

Out-of-network means you're getting care from providers who aren’t part of your health plan. You’ll probably have higher out-of-pocket costs when you see an out-of-network provider and they may balance bill you for the full amount for your care. Don't worry--if it's an emergency, you're always covered.
 
Staying in-network guarantees you cost savings because of the pre-negotiated, discounted rates. So, depending on your needs, it pays to stay in your health plan’s network.

Does Florida Blue offer virtual visits?

For most plans, virtual visits with designated primary care doctors and 24/7 care with Teladoc are available for a $0 out-of-pocket cost. Ask your doctor if they offer virtual care or visit to www.teladoc.com to get started.

When should I choose ER vs urgent care?

If it's not an emergency, your primary care physician should be your first choice when seeking care. Your PCP can treat common illnesses (cold, flu, sore throat, etc.) and minor injuries and conduct routine exams, vaccinations and screenings. Virtual visits with designated primary care doctors and 24/7 care with Teladoc are available for a $0 out-of-pocket cost with most plans. Ask your doctor if they offer virtual visits or go to www.teladoc.com. If you need care right away, use this guide to help decide where to go for care:

In a life-threatening emergency, always call 911 or go to the nearest ER. Examples of symptoms that require ER care include:

  • Severe chest pain (a possible heart attack)
  • Signs of a possible stroke
  • Severe or sudden shortness of breath
  • Sudden or unexplained loss of consciousness

Urgent care centers are less expensive than ERs and often have shorter wait  times. Visit an urgent care center for conditions like:

  • Cold, flu and fever
  • Strains, sprains and/or breaks
  • Infections
  • Mild burns

To find an urgent care center close to you, click here.

What types of virtual care are available?

Virtual visits

Ask your Florida Blue provider if they offer virtual visits. These appointments give you the opportunity to receive ongoing care from your regular doctor when an in-person visit isn’t required or possible. Receive the care you need, all while social distancing.

Teladoc available 24/7

Talk to a doctor within minutes, even after hours and on weekends.

Skip the waiting room and talk to a health care professional by phone or video 24/7, even after hours or on the weekends. Simply request a visit, choose your consultation method, and a doctor will provide you with care normally within less than an hour.

You’ll receive timely treatment for non-emergency issues, and you can elect to send the results to your primary care doctor. If necessary, we’ll send prescriptions to the pharmacy of your choice.

Try Teladoc 

Remote Health Tracking

Monitor treatment in real-time.

As part of your treatment plan, using medical sensors or wearable devices will help track vital signs and monitor your progress. Our care managers and your doctor will discuss your progress so smart adjustments can be made sooner.

Remote monitoring can streamline long recoveries, help you better manage ongoing conditions and ensure that care teams will be alerted the moment a serious event occurs.

eConsult with Specialists

Your primary care provider (PCP) may engage a quality specialist throughout the nation to determine your treatment plan without you ever leaving your doctor's care.

Many of our PCPs are utilizing eConsults to discuss your care needs with highly trained and teaching specialists across the nation. If your PCP utilizes eConsults they will provide you with clear direction on your treatment without the time, cost, and stress of visiting a specialist.

These specialists can help confirm a diagnosis and this private, secure treatment can be shared with your care team.

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