Select Care Based On Your Needs1
When To Choose The Doctor’s Office
Your doctor’s office is a great place for scheduled care and check-ups, and you should try them first during office hours in a non-life-threatening emergency. Doctors are usually available during normal business hours and may also provide medical advice by phone after hours. Many doctors are also offering virtual visits through their offices.
A good choice for:
Mild asthma, back pain, flu-like symptoms, allergies, fever, sprains, diarrhea, eye or sinus infection, rash, urinary tract infection, sore throat, earache, bumps, minor cuts and scrapes, and other non-emergency symptoms.
Find A Doctor
When To Choose Virtual Care
See a doctor or therapist without leaving your home for non-emergency medical issues. Virtual care provides 24/7 availability with no appointment needed. You can access virtual care by logging in to your Anthem account or through your SydneySM Healthapp.
A good choice for:
Flu-like symptoms, allergies, fever, sinus infection, diarrhea, eye infection, skin infection, rash, urinary tract infection (UTI).
When To Choose A Retail Health Clinic
Visit your local retail clinic for flu shots or help with mild rashes, fevers, or colds. Walk-in care clinics are located in certain drugstores and major retailers.
A good choice for:
Sore throat, earache, bumps, minor cuts and scrapes, urinary tract infection.
When To Choose Urgent Care
Urgent care locations available to Anthem members are accessible in many communities at all hours of the day and night. Doctors and nurses can help with non-life-threatening but urgently needed care quickly. They are typically standalone facilities with extended hours.
A good choice for:
Sprains and strains, nausea or diarrhea, ear or sinus pain, minor allergic reactions, cough, sore throat, minor headache, urinary tract infection.
Find An Urgent Care Location
When To Choose The Emergency Room
You should always go to the ER if you believe your life or health is in danger. However, for less severe injuries or illnesses, the ER can be expensive and wait times can average over 4 hours.
Always call 911 or go the ER if you think you are having a real emergency or if you think you could put your health at serious risk by delaying care.
A good choice for:
Signs of a heart attack (chest pain) or stroke (sudden numbness and slurred speech), difficulty breathing, and severe burn or bleeding. Any other symptoms where it is reasonable to think you are having a life-threatening emergency or your health is in serious jeopardy.
Find All Types Of Care From Your Phone
Log in or download the SydneySM Health mobile app. Then, you can:
- Find a doctor.
- Have a virtual visit with a doctor
- Find a retail health clinic, urgent care center, or ER.
Choose Find Care and follow the steps.
Infographic Transcript
PCP
Usually available during normal business hours and may also provide medical advice by phone after hours
(doctor icon)
cost7
$$
average wait2
18 min
Mild asthma, back pain, flu-like symptoms, allergies, fever, sprains, diarrhea, eye or sinus infection, rash, urinary tract infection (UTI), sore throat, earaches, bumps, minor cuts and scrapes, and other nonemergency symptoms
Virtual care
24/7 access to doctors through the SydneySM Health app, no appointment needed
(doctor in tablet icon)
cost
$
average wait3
10 min
Flu-like symptoms, allergies, fever, sinus pain, diarrhea, eye infection, rash, UTI
Retail health clinic
Walk-in care clinics located in certain drugstores and major retailers
(doctor with clipboard icon)
cost
$$
average wait4
30 min
Sore throat, earaches, bumps, minor cuts and scrapes, UTI
Urgent care center
Stand-alone facilities, open extended hours
(nurse with clock icon)
cost
$$$
average wait5
30 min
Sprains and strains, nausea, diarrhea, ear or sinus pain, minor allergic reactions, cough, sore throat, minor headache, UTI
Emergency room
Stand-alone facilities or part of hospitals, open 24/7
(hospital icon)
cost
$$$$
average wait6
90 min
Signs of a heart attack (chest pain) or stroke (sudden numbness and slurred speech), difficulty breathing, and severe burn or bleeding — and any other symptoms where it is reasonable to think you are having a life-threatening emergency or your health is in serious jeopardy.
1 The care options and list of symptoms are not all-inclusive. If possible, consult your PCP for more guidance.
2 Business Wire: 9th Annual Vitals Wait Time Report Released (accessed July 2021): businesswire.com.
3 LiveHealth Online, internal data 2020.
4 Healthcare Finance: Patient wait times show notable impact on satisfaction scores, Vitals study shows (accessed July 2021): healthcarefinancenews.com.
5 Urgent Care Association: UCA 2019 Benchmarking Report (accessed July 2021): ucaoa.org.
6 Harvard Business Review: To Reduce Emergency Room Wait Times, Tie Them to Payments (accessed July 2021): hbr.org.
7 Costs are ranked according to the member’s estimated out-of-pocket costs and average health plan copays. Each plan may have different costs. Nonemergency care outside of your network may cost more out of pocket or may not be covered at all. $ = lower cost, and $$$ = higher cost.
Call the Member Services number on your ID card if you have questions about your plan.
