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Choosing the Right In-Network Option

Know where to go, and how much it could cost, so you can get the right care at the right time. Use this guide to help you choose between your primary care provider (PCP), urgent care, telehealth or the emergency room (ER).

If you're experiencing an emergency, go to the closest ER or call 911.

The Short Answer: Where You Should Go For Care

Where you should go for care depends on your symptoms and how severe they are. Quickly scan some of your care options, then learn more about them below. Ready to check your in-network options? Start searching doctors and hospitals and other care options covered by your plan.

 
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Primary care provider (PCP)

Likely your lowest cost option. Call ahead or book appointments online.

Best for minor illnesses, like colds or sore thoats, minor injuries, as your first stop for chronic conditions, and preventive care.

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Telehealth

A low-cost option available 24/7. Meet with a licensed provider anytime, anywhere you have internet connection.

Best for minor, non-emergency illnesses or injuries after normal doctor office hours.

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Urgent Care

A mid-cost option. Walk-in appointments are normally available.

Best for same-day needs that aren't emergencies, like stomach bugs, fevers or minor fractures or cuts that might need stitches.

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Emergency room (ER)

Likely your most expensive option. A last resort for life-threatening concerns. Walk-in for care, but expect wait times.

Best for stroke-like symptoms, chest pain or trouble breathing or severe bone fractures or bleeding.

Should I go to urgent care or the ER?

If you're experiencing an emergency, go to the closest emergency room or call 911 immediately.

Go to urgent care or call your (PCP) for:

  • Low or mid-grade fevers
  • Ear infections, sinus infections or sore throat
  • Col, flu or COVID-19 symptoms
  • Eye infections, like pink eye
  • Stomach bugs that aren't severe
  • Rashes or mild burns
  • Sprains or minor fractures
  • Scratches or wounds that could need stitches
  • Mild asthma that responds to an inhaler
     

Go to the ER or call 911 for:

  • High fevers over 104°
  • Difficulty breathing or chest pain
  • Stroke-like symptoms (facial drooping, numbness, confusion)
  • Sudden, severe headaches
  • Stomach bugs that are prolonged or severe
  • Severe fractures, breaks or deep wounds
  • Overdoses or poisoning
  • First-time or prolonged seizures

Learn what's an emergency.

Compare Your Options: Symptoms, Cost and Wait Time

Where you go for care, how much it costs and how long you could wait can vary, but consider these averages. Depending on your follow-up care, if you go someplace in-network or out-of-network and how busy each office is could affect your costs or wait time.

 Average CostSymptomsAverage Wait Time
PCPPreventive care: $0
Copay: $10-$50
Minor illness or injury, sore throat, preventive care,
specialist referrals and as a first-stop for chronic conditions
Same-day to 3 days for appointment,
depending on the provider
TelehealthCopay: $10-$50Non-emergency illnesses, injuries, common conditions,
prescription refills and some behavioral health support
Available 24/7 with 10-15 minute waits
Urgent CareCopay: $15 - $75Non-emergency symptoms when your PCP's not available,
cuts that need stitches, minor fractures, stomach bugs
and mid-grade fevers
Walk-in appointments available
with 30 min - 2 hour waits
ER$150 - $1,000+Life-threatening emergencies, like trouble breathing,
chest pain, strokes or stroke-like symptoms or major
injuries or bleeding
Walk-in appointments available
with 2-6+ hour wait times

A Closer Look at Your Care Options

 
 

Frequently Asked Questions About Care Options