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Faster Service Using HMO Insurance

If you have a new issue that's not life-threatening like a cough or cold, consider visiting an Urgent Care Center (UCC) for faster service. By doing so, you will reduce your wait time for specific blood/urine tests and xrays. The network Urgent Care centers treat new issues such as coughs, colds, earaches, skin rashes, sprains, sore throat, minor cuts where bleeding is controlled, and most fevers. They also treat abdominal pain, broken bones, painful urination, and mild shortness of breath.

Your HMO coverage includes a network of full-service urgent care centers right in your area. They are a part of the network, so you don’t have to worry about unexpected costs.  Nearly all of these centers also have on-site diagnostic equipment, including blood draws and x-rays, to ensure quick treatment and recovery.

Visit your local HMO network urgent care if you have any of these symptoms:

  • Mild abdominal pain
  • Mild chest pain
  • Palpitations (racing heartbeat, skipped beats, extra beats)
  • Fever
  • Headache
  • Back pain
  • Nose bleed
  • Mild shortness of breath/breathing difficulty
  • Sore throat, bad cough and cold symptoms
  • Nausea, vomiting, diarrhea or constipation
  • Rectal or vaginal bleeding
  • Mild dehydration (IV medications/infusion)
  • Cuts, scrapes, burns, bad bruises, sprains, fractures
  • Mild car or bicycle accident
  • Earache or toothache
  • Dizziness
  • Swollen or painful arms or legs
  • Rash
  • High blood pressure
  • Vision/eye problem
  • Bladder or kidney infection, kidney stone
  • Evaluation for possible sexually transmitted infection
  • Blood in stool or urine
  • Neck pain
  • Fainting/feeling light headed
  • Abscess/boil
  • Mild head/face injury
  • Joint pain
  • Diabetes (not controlled)
Choose your HMO Network Below to Find The Local Urgent Care Center in Your Network

When to Go to the Emergency Room

An emergency is when a person could die or be permanently hurt.  The Emergency Room (ER) provides care for critical or life-threatening conditions. 

Some examples of such conditions include:

  • Trouble breathing
  • Severe chest pain or pressure
  • A sudden, bad headache
  • Suddenly not being able to speak, see, walk or move
  • Heavy bleeding
  • Having thoughts about hurting yourself
  • Seizures (uncontrollable violent spasms)
  • Loss of consciousness
  • Poisoning or drug overdose
  • Severe wounds or broken bones
  • Head injury
  • Eye injury

When to Go to an Urgent Care Center

Urgent care is for non-life threatening conditions. Some examples of such conditions include:

  • A common illness like the flu
  • Minor fever or headache
  • Painful sore throat
  • Earache or sinus pain
  • Minor injuries like a sprained ankle
  • Back pain
  • Cuts or small wounds
  • Small burns
  • Rash or minor allergic reactions
  • Nausea
  • Diarrhea
  • Urinary tract infections‚Äč

Go to an Urgent Care Center when:

  • you need care for non-life threatening conditions¬†
  • you can‚Äôt get in to see your doctor soon enough
  • your doctor's office is closed and you need to see someone that same day

When to Come See Us (Primary Care)

Your HMO insurance provides you with a Primary Care Provider at our office for yearly annual physicals and certain referrals to specialists.  Come to see us for:   

  • yearly annual physicals
  • certain referrals to specialists
  • follow up for minor chronic conditions (blood pressure, cholesterol, diabetes, etc.)

How to use your HMO to see a specialist or get a referral: 

  • for x-rays, go to the network urgent care¬†
  • for pap smears, send us a message and we'll refer you
  • for colonoscopies,¬†send us a message and we'll refer you
  • for routine screening mammograms, send us a message and we'll refer you
  • for routine screening bone density exams, send us a message and we'll refer you
  • for psychiatry, call the customer service phone number on the back of your card (including potential refills of controlled medicines)¬†
  • for eye exams (routine glasses/contact lenses),¬†call the customer service phone number on the back of your card
  • for dental issues,¬†call the customer service phone number on the back of your card
  • for an MRI or other advanced imaging, please make an appointment at our office to be referred*
  • for referrals to a specialist if fields such as ENT, ophthomalogy, cardiology, pulmonology, gastroenterology, etc.,¬†please make an appointment at our office to be referred*

* please note that referral decisions are made by the HMO network, not Prime Care Physicians.  We will do our best and provide medical justification as available and appropriate to help you get authorization but ultimately, the decision of whether your request is approved and to whom it is approved for you to see, are made by the insurance provider, not us. 

Contact Us

Feel free to ask our staff or the site manager any questions about our services. Because your satisfaction is important to us, we’ve made comment cards available in all of our offices and on this website. Please let us know how we can serve you better.

13425 Ventura Blvd., Suite 102
Sherman Oaks, CA 91423

Phone: 818-995-7784

Fax: 818-995-7786

Email: admatian@PrimeCareLA.com

About Us

Prime Care Physicians is a primary care medical practice started in response to a need for quality primary care in the local community. Our goal is to preserve the quality of the personal relationship between patient and doctor, prevent disease, and help guide our patients through the medical maze of specialists and consultations should a medical concern arise. Our long term goals are to expand in geographic locations served and services available.

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