Where to Go for Care | Ambetter from Superior HealthPlan


Where To Go for Care

When it comes to getting care, Ambetter Health members have options.

24/7 Nurse Advice Line

Talk to a registered nurse any time of day or night with this free service. The 24/7 Nurse Advice Line provides quick, reliable advice for medical situations that aren’t life-threatening.

Get the 24/7 Nurse Advice Line if you need:

  • Help caring for a sick child
  • Answers to questions about your health
  • To determine whether you should see a doctor immediately

Primary Care Physician (PCP)

Your Primary Care Physician is your main doctor – the one you see for regular checkups. If your condition isn’t life threatening, calling your PCP should be your first choice. Use our online Find a Provider tool to find an in-network provider in your area.

Visit or call your PCP if you need:

  • Your annual preventive visit and vaccinations
  • Advice about your overall health
  • Help with medical problems such as a cold, the flu, and fevers

Treatment for an ongoing health issue like asthma or diabetes

Virtual 24/7 Care

Virtual 24/7 Care* offers convenient, 24-hour access to in-network healthcare providers for non-emergency health issues. You can get medical advice, a diagnosis or prescription by phone or video. Use Virtual 24/7 Care anytime or schedule an appointment wherever and whenever you need it.

Contact Virtual 24/7 Care for illnesses such as:

  • Sinus problems and allergies
  • Upper respiratory infections
  • Cold, the flu, and fevers
  • Rash and skin problems

Urgent Care

If you can’t wait for an appointment to see your PCP, an urgent care center offers fast, hands-on care for health conditions or injuries that require immediate attention. Be sure to visit an in-network urgent care center to avoid paying out-of-network costs. Use your online Find a Provider tool to find an in-network urgent care facility in your area.

Use urgent care for medical issues such as:

  • Sprains
  • Ear infections
  • High fevers
  • Flu symptoms with vomiting
  • X-ray and stitches

Always refer to your Schedule of Benefits to make sure you understand the costs you may be responsible for if you choose a provider or service outside of our network.

Emergency Room (ER)

Go to the emergency room or call 911 if your condition is life-threatening. If you have a serious accident or illness, the ER may save your life. But if your situation isn’t life-threatening, you may receive more prompt care through one of the other options available to you. Plus, visiting the ER may increase your out-of-pocket costs significantly.

Call 911 or get to an ER if you experience:

  • Shortness of breath, asthma
  • Chest pains
  • Bleeding that won’t stop
  • Severe cuts or burns
  • Poisoning

988 Suicide and Crisis Lifeline

The 988 Lifeline provides quick, confidential help for mental health, drug use, suicidal concerns, and thoughts of harming yourself or others.

Options to connect:

988 can help you or a family member if you are thinking about suicide or have anxiety, depression or concerns about alcohol or drug use. It can also help with thoughts of hurting yourself or others.  

 

*Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.

Ambetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, Inc. These companies are each Qualified Health Plan issuers in the Texas Health Insurance Marketplace. This is a solicitation for insurance. ©2026 Celtic Insurance Company, ©2026 Superior HealthPlan, Inc. All rights reserved. AmbetterHealth.com/en/tx. If you, or someone you’re helping, have questions about Ambetter from Superior HealthPlan, and are not proficient in English, you have the right to get help and information in your language at no cost and in a timely manner. If you, or someone you’re helping, have an auditory and/or visual condition that impedes communication, you have the right to receive auxiliary aids and services at no cost and in a timely manner. To receive translation or auxiliary services, please contact Member Services at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989).For more information on your right to receive Ambetter from Superior HealthPlan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit AmbetterHealth.com and scroll to the bottom of the page.