Help Clients Avoid Surprise ER Bills

April 22, 2026

Applies to Individual & Family Markets

Emergency rooms are meant for serious or life-threatening situations and often come with higher out-of-pocket costs. Helping clients understand their coverage and care options can reduce the risk of unexpected medical bills.

Encourage clients to stay proactive about their health and take advantage of preventive care that’s covered under their plan. Preventive visits can help address issues early and may reduce the likelihood of needing emergency care. 

Help Clients Find the Right Care
When care is needed quickly, but it’s not an emergency, urgent care may be a more appropriate and cost-effective option. Agents can help clients locate the closest in-network urgent care facilities, including hours of operation, by using the Find Care tool.

To help clients understand preventive care better and stay ahead of potential health issues, you can share the following wellness resources.

• Adult Wellness Guidelines – Recommended preventive care and screenings for adultst
• Child Wellness Guidelines – Routine care and checkups to support healthy development
• Perinatal Wellness Guidelines – Care recommendations during pregnancy and postpartum