If you or a family member experiences a life-threatening illness or injury, always call 911 or go to the nearest emergency room (ER). Whether you're at home or on the road, your plan pays in-network benefits to providers. There is no need for referrals or authorizations.
The list below includes, but is not limited to, situations that require ER treatment.
- Major head trauma
- Chest pain
- Severe abdominal pain
- Falls from greater than 7 feet
- Loss of consciousness
- Infants less than 6 months of age or with a temperature greater than 103 degrees
- Pregnancy bleeding or complications
- Life-threatening allergic reactions
- Severe burns
- Severe choking (cannot breathe or talk)
- Signs or symptoms of stroke or heart attack
- Amputation of a body part
- Near drowning
- Electrical shock
- Severe break or bone fracture
The list below includes, but is not limited to, non-life-threatening conditions that can be treated by your primary care physician or an urgent care or retail care center in your network.
- Colds and cold-like symptoms, including cough, sore throat, fever
- Ear infections
- Minor burns and injuries
KNOW YOUR OPTIONS
- Doctor’s office - The first place to call for anything that isn’t an emergency
- Retail clinic - An option for routine care that might be faster or more convenient than your primary doctor for minor illnesses, screenings and shots
- Urgent care center - A great choice if your doctor isn’t available and you need care right away for something like the flu, infections, minor burns or sprains
- Emergency room - Your immediate choice for life-threatening emergencies such as a stroke, heart attack, severe bleeding, head injury, or difficulty breathing
Be sure to choose a provider in your network
Your policy includes a group of doctors, hospitals, and clinics called a network. Find more information here.
To find out if a provider participates in the Humana network, check our our Physician Finder Tool or use the MyHumana app on your mobile device.