Emergency care is received in a hospital’s emergency department for serious and life-threatening illness or medical emergencies. Emergency care is an important feature of healthcare but should only be used when absolutely necessary. It is important to utilize emergency care when you or someone else is experiencing life-threatening illness or injury such as: bleeding uncontrollably, severe head trauma, severe bone break, convulsions or seizures, moderate to severe burns, symptoms of a heart attack or stroke, or a very high persistent fever. A good rule of thumb for emergency care is to consider whether the medical concern is life-threatening. Emergency care can be very expensive, especially when used in inappropriate circumstances.
- Unscheduled, immediate care
- Serious and life-threatening medical attention
We understand that during an emergency, you will not always be able to go to an in-network emergency room. Because of this, CGHC will cover out-of-network expenses for serious emergency care up to the maximum allowed amount. This will lessen any out-of-pocket expense to you if you happen to be at an out-of-network facility. But remember, it will ALWAYS be most cost-effective to go to an in-network emergency room whenever possible.