Can I go to the ER with L.A. Care?

Asked by: Virginia Wolf  |  Last update: April 2, 2025
Score: 4.5/5 (19 votes)

For emergency care, call 911 or go to the nearest emergency room (ER). For emergency care, you do not need pre-approval (prior authorization) from L.A. Care. Inside the United States, including any U.S. Territories, you have the right to use any hospital or other setting for emergency care.

Does L.A. Care cover ER visits?

Emergency care is covered at all times and in all places. If you're not sure if you should visit the Emergency Room and need advice, you can: Call the Nurse Advice Line 1-800-249-3619 (TTY 711) Call Member Services at 1-888-839-9909 (TTY 711)

Can you go to the ER with Medi-Cal?

Medi-Cal does cover emergency services for enrolled members, and if you show your BIC to emergency room staff, Medi-Cal will pay for the services you receive.

Does ER accept any insurance?

The Affordable Care Act requires insurance companies to cover care you receive in the ER if you have an emergency medical condition. You don't need to get approval ahead of time, and it doesn't matter whether the hospital or facility is in or outside of your insurance network.

Can I just walk into an ER?

And, in a doctor's office, patients usually receive personalized service due to an established working relationship. You do not need an appointment to go to the ER, but you may have to wait if other patients have more pressing medical needs.

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43 related questions found

Why do people go to the ER instead of urgent care?

When your emergency department is the better choice. More serious problems—like severe pain, difficulty breathing and traumatic injuries—do need screening and treatment at the ED. In major emergencies, driving to the ED won't get you help fast enough. It's safer to call 911, especially in life-threatening situations.

Can you go to the ER without paying?

Emergency room staff cannot deny care or treatment to people without insurance, but they do charge for their services. The fees of emergency rooms are higher than those of urgent care centers. It may be a good idea to research and consider what situations might warrant a visit to each place.

How much does an ER visit cost with insurance?

The cost of an ER visit for an insured patient varies according to the insurance plan and the nature and severity of their condition. Some plans cover a percentage of the total cost once you meet your deductible, while others charge an average co-pay of $50 to $500.

How to get ER to admit you?

ER physicians do not have admitting privileges. If they feel a patient warrants admission they call the attending of the service “on call” for the day, and discuss the patient. ER staff may write a few orders until the attending arrives to fully assess the patient's problem.

What does Medi Cal not cover?

Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.

Can you go to any hospital with L.A. Care?

For emergency care, you do not need pre-approval (prior authorization) from L.A. Care. Inside the United States, including any U.S. Territories, you have the right to use any hospital or other setting for emergency care.

How much is an ER visit with Medi-Cal?

Emergency hospital services $0 copay for Medicaid- covered services 56. Transportation (State provides emergency and non-emergency medical transportation. Meets federal requirement for assurance of transportation to medically necessary services) $0 copay for Medicaid- covered services .

Do you need money to go to the ER?

The reason so many ER visits are for non-urgent care? The law requires hospitals to provide care for all patients regardless of their ability to pay. The same applies to urgent care facilities owned by hospitals.

Is L.A. Care and Medi-Cal the same?

L.A. Care is the health plan for Medi-Cal members in Los Angeles County. The California Department of Health Care Services (DHCS) works with L.A. Care to provide your Medi-Cal health care.

What type of insurance is L.A. Care?

L.A. Care offers a Medi-Cal plan built with our community in mind. Medi-Cal is a public health care program for those with limited income. This free or low-cost public health insurance program pays for medical services for eligible California residents.

Do Medicaid patients pay for ER visits?

Fortunately, Medicaid does cover visits to the ER.

Can I just walk into the emergency room?

Emergency rooms don't take appointments and may have long wait times. Compared to a visit to your own healthcare provider, it's a much less comfortable experience. You should only go there for severe conditions when waiting would be dangerous.

How can I be seen immediately at the ER?

Be specific: Describe your symptoms in detail. Instead of saying “I feel sick,” explain the specific symptoms you are experiencing, such as nausea, dizziness, or chest pain. This will help the medical staff understand the urgency of your situation. Use descriptive language: Paint a vivid picture of your symptoms.

What symptoms will get you admitted to the hospital?

Go to an emergency department or call 911 or the local emergency number for help for problems such as:
  • Trouble breathing.
  • Passing out, fainting.
  • Pain in the arm or jaw.
  • Unusual or bad headache, particularly if it started suddenly.
  • Dizziness or weakness that does not go away.
  • Inhaled smoke or poisonous fumes.
  • Sudden confusion.

Is it cheaper to go to urgent care or ER?

An urgent care visit is between $100 and $200 – about ten times less than the average ER visit. If you have insurance, it should only be the cost of your co-pay. Most urgent care clinics are open 7 days a week. And, on average, wait times are 30 minutes or less.

How do you lower your ER bill?

1. Understand your medical bill.
  1. Request an itemized bill. Like a receipt, an itemized bill breaks down all the charges, including the cost of each procedure, medication, and service. ...
  2. Double-check your medical codes. ...
  3. Compare prices. ...
  4. Offer to pay upfront. ...
  5. Try a payment plan. ...
  6. Negotiate based on comparable rates.

How much does a 3 day stay in the hospital cost?

It's easy to underestimate how much medical care can cost: Fixing a broken leg can cost up to $7,500. The average cost of a 3-day hospital stay is around $30,000.

Where can I go if I don't have an ER?

If you can't get in to see your doctor and you want to be seen in person, a convenience clinic (such as the ones inside retail stores, supermarkets or pharmacies), or an urgent care clinic (usually near your primary care clinic) is your next best option. Still, every situation is unique.

Can you ignore ER bills?

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Is the ER expensive without insurance?

Some states are, of course, more expensive than others. Studies indicate that states like Maryland, Maine, and West Virginia tend to have lower, on average, ER costs, and states like California, New Jersey, and Florida tend to have higher on average ER costs.