Urgent & Emergency Care

Emergency Care

Emergencies include:

  • Bleeding that will not stop
  • Broken bones
  • Loss of consciousness
  • Chest pain
  • Drug overdose
  • Poisoning
  • Trouble breathing

When your child needs emergency care, Dell Children’s Health Plan covers care at any emergency room in the United States. Your child is covered for emergency care 24 hours a day, seven days a week. In an emergency, take your child to the nearest emergency room for help.

You may have to pay if you go to the emergency room for a condition that is not life-threatening.

Schedule an ER Visit

Some emergencies are more like mini emergencies. Reduce your wait in the Emergency Room by choosing a scheduled arrival time at SetonER.com. You’ll be seen by a healthcare professional within 15 minutes of the time you select.

Urgent Care

Many illnesses do not need to be treated in the emergency room. If you are unsure if you should seek urgent care, call your child’s PCP for guidance or to schedule an appointment. You can also call Dell Children’s Health Plan’s 24-Hour Nurse Advice Line at 888-596-0268. Our nurses are ready to help you 24 hours a day, seven days a week.

Care When You Are Away from Home

Dell Children’s Health Plan covers urgent and emergency care when your child has a sudden illness or injury anywhere in the United States. Health care services received outside the United States are not covered.

Dell Children’s Health Plan’s service area for CHIP and STAR includes:

  • Bastrop, Burnet, Caldwell, Hays, Fayette, Lee, Travis, and Williamson counties.

There is no coverage for routine care given outside the Dell Children’s Health Plan service area.

Routine care includes:

  • Checkups
  • Physicals
  • Tests
  • Non-urgent surgeries