Emergency Department Utilization Case Management Program
The Ingham Health Plan and local emergency departments (ED) are working together. We want to make sure you have access to the best care possible. A lot of visits to the ED are for small problems. They are not really emergencies, such as colds, minor cuts and sprains. Members without emergency health problems are better off being seen at their assigned primary care provider (PCP) office. Participating Urgent Care clinics are also an option.
You should go to the nearest emergency department if you have an accident or a condition that is considered a medical emergency. A medical emergency is a condition that occurs suddenly and could lead to serious harm or loss of life. Examples are heart attack, bleeding that cannot be stopped, head injuries, choking, poisoning, shock, loss of consciousness or convulsions. These should be treated right away in an emergency department.
Call your doctor’s office for:
- Earaches or headaches
- Cold or flu symptoms
- Sunburns or other minor burns
- Skin rashes or insect bites that do not cause breathing problems
- Muscle sprains and pain
For most medical problems, your doctor’s office is the best choice.
Ingham Health Plan does not pay for emergency department services or ambulance rides. Members are responsible for those bills.
The IHP Nurse Case Manager teaches members and providers about services covered by the health plan. Members may be redirected to their PCP for healthcare. This helps to reduce nonemergency use of ED services by members. Care provided to members by local hospitals is monitored. The nurse contacts members for follow up as needed. This program has many benefits for members such as referrals to community resources, creating a plan of care between the PCP and the ED, and helping get appointments with a PCP or a specialist. To contact an IHP nurse call 1-866-291-8691.
URGENT CARE CENTERS (PDF)
WHERE DO I GO WHEN I AM SICK OR HURT? (PDF)