It is an injury or condition serious enough to prevent you from taking the time to call your PCP before receiving care. If you receive care for an emergency, you or someone acting on your behalf should notify your PCP within 48 hours of the onset of the emergency, even if you are not admitted to a hospital. Always call your Primary Care Physician for direction on any necessary follow-up care. There is a copayment for emergency room treatment. You are covered for urgent and emergency care services that you may receive when traveling.
Emergency care is defined above.
An urgent condition means that care is needed to prevent serious deterioration of health. If you seek urgent or emergency care while traveling, you or someone acting on your behalf should notify your PCP within 48 hours after the onset of the urgent condition. Your PCP will provide or arrange for any routine or follow-up care. Your PCP should provide or arrange for any routine or follow-up care. While Tufts Health Plan seeks to ensure the continued availability of network providers, providers may sometimes leave the network.