We know the idea of a house call is new to many of you. That's why we’ve pulled together answers to questions we often hear. If we didn’t answer yours, please send us your question and we’ll get back to you right away.
What is Carena Urgent Care?
Carena Urgent Care (CUC) provides members with 24/7 access to in-home medical treatment from a physician for urgent, but not life-threatening, medical concerns. This service helps you avoid unnecessary trips to the emergency room when your primary care provider (PCP) is unavailable, such as after-hours or on weekends.
House calls last as long as needed, typically an hour, to ensure you understand your care plan, steps for follow-up, and what to expect as your medical condition improves.
Carena medical group physicians can also help you find a PCP, identify health risks based on your medical history, and provide information and referrals to other appropriate drugstore.com health and wellness programs.
To use Carena Urgent Care, drugstore.com members call 1-866-898-1750 to speak with a Patient Care Coordinator, who will begin the process of contacting a provider to speak with you.
What are the benefits of using Carena Urgent Care?
The following are key member benefits:
- Receive prompt care for urgent, but not life-threatening, health concerns.
- Avoid a more costly trip to the emergency room for matters that are not true emergencies.
- Be given ample time to ask questions and better understand resources for care with unhurried, in-home visits.
How does the Carena Urgent Care service work?
Once you have contacted Carena, here is what you can expect:
- You will speak with a Carena Patient Care Coordinator (PCC), who will have a provider call you about your concern. The provider may determine that the emergency room (ER) is the best option for you, or may provide you with tips on caring for your concern at home. If appropriate, the provider will arrange a time for a house call with you.
- Typically, a Carena medical group physician will arrive within two to four hours. If there are any schedule changes, the PCC will contact you to discuss your options.
- The physician will treat your illness or injury in your home. Physicians can treat minor burns and musculoskeletal injuries such as sprains and strains. Additionally, they can stitch minor lacerations; provide care and wellness education for back, neck, or headache pain; address common illnesses such as viral infections; and perform certain laboratory tests, including blood draws.
- In many instances, follow-up care is needed. If you do not have a primary care provider (PCP), a PCC can help you choose one and can even call you to help you schedule your follow-up appointment. Carena provides a summary report of your visit to your new or existing PCP.
Physicians do not carry narcotics and cannot refill prescriptions written by another provider.
When should I use Carena Urgent Care?
Your primary care provider (PCP) is the best option for your routine and ongoing health needs. Use the emergency room or call 911 for situations that threaten life or limb. But for urgent concerns that occur when your PCP is not an option, consider Carena Urgent Care.
Some examples of urgent concerns that can be handled in the home are:
- Minor cuts, scrapes, and burns
- Back and muscle strains
- Strep throat or ear infections
- Skin infections
- Persistent or worsening coughs and respiratory infections
- Wrist and ankle sprains
Are your physicians limited by what they can do in the home?
Carena medical group physicians can treat a wide range of urgent concerns in the home. They carry an updated version of the traditional "doctor bag", filled with state of the art, portable tools to treat your medical conditions. With these kits, physicians have all the equipment necessary to suture minor cuts, deliver nebulizer treatments for asthma, and obtain lab samples in the home. They can also run in-home rapid tests for influenza, strep throat, and other medical issues.
If X-rays or other diagnostic tests are needed, the physician will coordinate scheduling of these tests with your primary care provider and share results with him or her when they are available.
While emergency rooms offer a wealth of technology for your medical needs, most non-emergent health concerns do not require the use of such equipment. That is one reason Carena Urgent Care is an effective and lower-cost alternative to the emergency room.
Who are the physicians delivering the house calls?
Carena medical group physicians are board-certified doctors who specialize in Family Medicine. To learn more check out the provider biographies.
Do the providers speak multiple languages?
Telephonic medical translators are available to help physicians deliver care to patients who speak little or no English.
What is a Patient Care Coordinator?
Patient Care Coordinators (PCCs) answer the phone and assist you with getting in touch with a provider. The PCCs are not clinically trained and therefore are not able to assess your health concern. Their job is to ensure that you are eligible for the service and that you questions are within the scope of services offered. If you are requesting a house call, the PCC will arrange for a Carena medical group provider to promptly return your phone call.
Who is eligible for Carena Urgent Care?
All drugstore.com employees and their dependents who are members of either the EPO or PPO health plan administered by Aetna, and who reside within the Carena Urgent Care (CUC) service area, are eligible to use CUC. Patient Care Coordinators will verify eligibility prior to a house call.
What personal information should I expect to give over the phone?
The Patient Care Coordinator will need to collect some pertinent information to determine your eligibility and to share with the provider, including:
- Individual's name requesting home visit
- Address
- Date of birth
- Phone number
- Alternate phone number
How much will this service cost me?
A visit for an eligible PPO or EPO plan member will be covered at 80 percent after the deductible has been met. By contrast, the copay for ER visits without admission is $100 for EPO plan members, with the remainder covered at 80 percent. For the PPO plan, an ER visit is covered at 80 percent after the deductible. This does not apply to non-emergencies seen in an ER, which are not covered for EPO plan members, and are covered at 50 percent after deductible for PPO plan members.
What health concerns are not appropriate for Carena Urgent Care?
Carena Urgent Care has been designed for urgent, but not life-threatening, health concerns that strike when your primary care provider (PCP) or urgent care center is not available. For routine health needs, the best option for care is usually your PCP. Developing a good relationship with your PCP is one of the best ways to get and stay healthy.
Carena Urgent Care should not be used in a medical emergency. If you feel you are experiencing a medical emergency, call 911 or go to the emergency room immediately. Some examples of emergencies are:
- Chest pain
- Loss of consciousness
- Severe shortness of breath
- A substantial cut or wound
Additionally, Carena is not an option for treating pregnancy-related issues or infants younger than three months of age who have fevers higher than 100° F. We also cannot treat minors (those younger than age 18) unless the parent of legal guardian is present. Carena medical group physicians cannot refill prescriptions written by other doctors and do not carry narcotics.
Will I get a house call every time I call?
Not necessarily. After speaking with you by phone, the Carena medical group provider may refer you to the emergency room, recommend watchful waiting until you can see your primary care provider, or provide self-care tips.
Can I be seen at work?
Delivering care in the home, rather than in your office, ensures patient privacy.
Members with urgent health concerns are encouraged to refrain from coming to work and to be seen by their primary care provider (PCP). This benefits both the employee and the health of co-workers. If you feel that you may be too sick or injured to go to work, and your PCP is unavailable, then you are encourages to call Carena Urgent Care and a physician may be dispatched to treat you in the comfort of your home.
If a house call is appropriate, what happens next?
The Patient Care Coordinator will establish a time for the house call and provide the name of the physician scheduled to see you. If desired, you can learn more about the physicians who will conduct the house call and see his or her photo by visiting the bios page.
What preparation is needed for the provider's arrival?
Prior to your visit, you may be given specific instructions for self-care. In addition, you may want to do the following before the physician arrives at your home:
- Locate your insurance care.
- Turn on the porch and driveway lights if it is dark outside.
- Secure pets in another room, if appropriate.
- Complete a patient registration form.
How long will I need to wait for the provider to arrive?
In the event a home visit is recommended, the Carena medical group provider and patient will establish a mutually acceptable time for the physician's arrival. This will typically be within two to four hours of calling.
Can the physician treat multiple family members in one visit?
Yes, as long as they are covered members under the Aetna PPO or PPO/HRA plan and the symptoms are urgent in nature, as determined by the physician.
How are prescriptions handled?
Carena medical group physicians will write prescriptions as necessary to treat the condition that prompted the visit, and may dispense limited medication at the time of care. Physicians cannot order prescription refills and will not provide prescriptions without a visit. Carena medical group physicians do not carry narcotic medications.
What paperwork is required and how is my insurance billed?
After the physician arrives, he or she will ask you to complete a patient registration form and collect your insurance information at that time. If your insurance information is not available or eligibility is in question at the time of the visit, you will be asked to sign a waiver accepting responsibility for the medical charges.
Aetna will be billed directly; you do not need to submit paperwork to Aetna.
Note: The processing of EPO plan members' claims may result ina home-mailed communication incorrectly stating that benefits for this service have been denied. If you do receive this, rest assured that your claim will be paid at 80 percent after the deductible has been met. You DO NOT need to take further action to correct this and you will receive notification of the correct assignment of benefits on your Explanation of Benefits shortly hereafter.
Can I see the Carena Urgent Care provider for follow-up?
No. Carena medical group physicians cannot act as your primary care provider. They are not available for follow-up care, ongoing medical needs, or prescription refills. This service is designed so the physicians are only available for urgent medical situations.
What if follow-up care is needed?
In many instances, follow-up care is necessary. In the event you do not have a primary care provider (PCP), the Carena medical group physician will help you choose one. If needed, a Patient Care Coordinator will call you to help you schedule a follow-up appointment with your new PCP. Carena will provide a summary report of your visit to your new or existing PCP.
How will my medical records get updated?
Medical records related to your visit will be sent to your primary care provider within five business days of the visit.
If I have feedback regarding my visit or this program, who should I contact?
The physician will provide a postage-paid survey at the end of your visit. Carena encourages every patient to send your visit feedback for consideration in evaluating program performance. All surveys are anonymous.
Will drugstore.com know I have received a house call?
Like the care delivered by any provider, house calls are confidential. No personal health information will be shared with your employer and they will not know you have received a house call.
Is a doctor already on the way to see you? Please take a few minutes to print out and complete our Patient Registration Form and review the Elliott Bay Medical Group Notice of Privacy Practices in preparation for your visit. If you don't have access to Adobe PDF Reader, you can download it for free here.