MDwise Right Choices Program
Your Care Manager/NURSEon-call
back to program overviewYour Care Manager or NURSEon-call is always available, call 1.800.356.1204
While enrolled in the Right Choices Program you will be assigned a Care Manager. A Care Manager is often a nurse or social worker. Your Care Manager will help you decide where and when to get health care. Your Care Manager will ask you questions and help you decide how to get the care you need.
The Care Manager services are:
-
Free and confidential
-
Available during daytime hours, Monday through Friday
NURSEon-call services are:
-
Free and confidential
-
Open 24 hours a day, 7 days a week
-
Available anytime of the day or night, weekends and holidays
-
NURSEon-call or equivalent is available to all persons enrolled with MDwise
Call your Care Manager before going to your Right Choices PMP and before making an appointment, unless you have an emergency.
The Care Managers or NURSEon-call are happy to help you with problems like:
Fever, ear ache, head ache, flu, sore throat, vomiting or upset stomach, colds, coughing, and back pain.
When to call your Care Manager or NURSEon-call Please call your Care Manager or NURSEon-call any time of the day or night:
-
When you are sick or hurt.
-
Before making an appointment with your Right Choices PMP (if you are making a follow-up appointment there is no need to call).
-
Before going to the emergency room.
-
Call 911 if you think your condition is life or limb-threatening.
When NOT to call your Care Manager or NURSEon-call
There are times you don’t have to call your Care Manager or NURSEon-call, such as:
-
If you have a health concern you think is life or limb-threatening. In this case, call 911 or go to the nearest emergency room.
-
If you have seen your Right Choices PMP for a specific health problem and a follow-up appointment is needed. Call the Right Choices provider’s office to schedule the appointment.
-
If you have been referred to a specialist for a specific health problem. Call the specialist’s office to set up an appointment.
-
If you need ongoing services such as transfusions or dialysis. Make this series of appointments with your doctor’s office.
Emergencies
An emergency is a serious medical condition where a person is in danger of lasting harm or loss of life if they are not treated quickly. Some examples of emergencies are:
Some examples of emergencies are: |
|
|---|---|
|
|
What if you have an emergency?
Call 911 or go to the nearest emergency room.
When should you go to the emergency room?
Go to the emergency room only when you have a medical emergency. If you have an emergency and go to the emergency room, you can get emergency treatment without your Right Choices PMP approval. If you get emergency treatment and you still need more care, you will need to go to your Right Choices provider.
Some examples of routine/regular care may include:
Ear infection, skin rash, a cold, sore throat
Remember:
If you are not sure if you should go to the emergency room, call the NURSEon-call at 1.800.356.1204 and choose option #3. The call is free. Registered nurses are available 24 hours a day, 7 days a week to help you.
Accessibility