Get the care you need, when you need it
Know where to go
Your health care needs do not always follow a schedule. Learn where to go when you or your family needs care, no matter what time of day it is.
Your primary care provider (PCP)
Your primary care provider (PCP) is the doctor that you will see for most of your health care needs. When you are sick or hurt, always call your PCP first (unless it is an emergency). Even if you call after hours, someone from the office should be on call and able to help.
Your PCP is listed on your member ID card and in your online profile. They will:
- Get to know you and your health history.
- Work with you to find specialists, treatment plans and medicines when needed.
If you have not seen your PCP before, call and make a new patient appointment as soon as you can. It is a good idea to see your PCP when you are well to help your doctor learn about your medical history before any health issues occur.
Need to change your PCP?
24-Hour Nurse HelpLine
833-388-1407 (TTY 711)
Health issues can come up when you least expect them. Our 24-Hour Nurse HelpLine lets you talk with a registered nurse whenever you have health questions or need medical advice — day or night and even weekends.
Our nurses can:
- Advise you on where to go when you need care.
- Help you with any health questions you have.
- Find a doctor after hours or on weekends.
An urgent medical condition is when care is needed for a sudden illness, injury or condition that is not an emergency but needs to be treated right away. There are no copays for urgent care visits covered by MO HealthNet Managed Care.
You may need urgent care if you have:
- High temperature
- Persistent vomiting or diarrhea
- Symptoms which are of sudden or severe onset but which do not require emergency room services
If you need urgent care:
- During normal clinic hours, call your primary care provider (PCP). Their number is listed in your online profile and on your member ID card.
- After hours and on weekends, visit an urgent care center.
Emergencies are times when there could be serious danger or damage to your health if you do not get medical care right away. If you need emergency care, call 911 or go to the nearest hospital emergency room (ER) even if it is not in the Healthy Blue network. Preapprovals are not needed for emergency care. There are no copays for emergency services covered by MO HealthNet Managed Care.
Go to the ER for things like:
- Chest pain;
- Difficulty breathing;
- Bad burns;
- Deep cuts/heavy bleeding; or
- Gunshot wound.
After an ER or urgent care visit:
Call your PCP as soon as you can after you visit the ER or urgent care center. Your PCP can help with your follow-up care. Their number is listed in your online profile and on your member ID card.
Not sure if it is an emergency?
Call our 24-Hour Nurse HelpLine at 833-388-1407 (TTY 711). Our nurses can tell you whether you need emergency care or help you find an urgent care center.
Behavioral health care
You do not need to see your PCP before getting behavioral health services. If you need help finding mental health or substance use services, call Member Services at 833-388-1407 (TTY 711).
If you are having any of the following feelings or problems, you should contact a behavioral health provider:
- Constantly feeling sad
- Feeling hopeless and/or helpless
- Feelings of guilt and/or worthlessness
- Difficulty sleeping
- Poor appetite
- Weight gain
- Loss of interest in doing things you once enjoyed
- Loss of energy
- Difficulty concentrating
- Irritability and/or aggressive outbursts
- Difficulty in relationships and/or school and work settings
- Constant pain such as headaches, stomachaches and backaches
- Symptoms or issues related to substance use
- Thinking of harming yourself or others*+
*If you think you are in danger of harming yourself or others, call 911 or go to the nearest emergency room even if it is not in the Healthy Blue network.
+24/7 Behavioral Health Crisis Line — 833-405-9088 (TTY 711)
If you are experiencing a mental health crisis, call our 24/7 Behavioral Health Crisis line at 833-405-9088 (TTY 711) for help. If a situation is life-threatening, always call 911 or go to the nearest emergency room even if it is not in the Healthy Blue network.