Definition: Treatment at an emergency room when a PCP is not available or for a life threatening condition such as severe wounds, head trauma, automobile accident injuries, or breathing difficulties, heart attacks or strokes.
Limits: None
Exceptions: None
Co-pays: None unless determined to be a non-emergency, then there is a 5 percent coinsurance on the first $300 of a Medicaid payment for an emergency room visit to receive non-emergency services not to exceed $15.00, unless exempt.