SERVICES

Primary Care Services

At the time of your initial registration visit with the Member Services Department, you are encouraged to select a primary care provider (PCP). He or she is responsible for coordinating your overall care and will assist you in obtaining the services that you need, including referrals to specialists, dental and behavioral health services, laboratory, x-ray, or the hospital if necessary. You may change your PCP once every six months by contacting the Member Services Department by phone or in person.

Our primary care providers specialize in Internal Medicine, Pediatrics, and Family Medicine (Family Practice) to care for people of all ages.

Basic primary care services include:

  • Evaluation and treatment of medical complaints
  • Follow-up of chronic and ongoing medical problems
  • Treatment of urgent medical problems
  • Routine checkups
  • Immunizations for all age groups, including annual influenza (flu) shots
  • Screening for many health disorders, such as diabetes (high blood sugar), high blood pressure, high cholesterol, anemia, hepatitis, and cancers.


NEMS provides many other types of services, such as:

  • Immigration examinations and evaluations
  • Work physical examinations
  • School sports examinations
  • Work injuries (worker's compensation)
  • Women's health care services, including family planning, pregnancy test, complete obstetrical services, breast and cervical cancer screening (Pap smears, mammograms)
  • Adolescent health care services
  • Geriatric health care services
  • Tuberculosis screening and treatment
  • Hepatitis B screening, vaccination, and treatment
  • Sexually transmitted disease (STD) screening
  • Confidential HIV testing, treatment, counseling and medical care.
  • Please note that you will be asked to leave immigration, worker’s compensation, and school forms with your provider, and it may take up to five (5) working days to complete the forms. There may be charges associated with certain types of forms completed by the provider. Patients will be charged for forms that are not considered medically necessary, as recognized by the Centers for Medicare & Medicaid Services (CMS). Please indicate to our staff whether you want the forms mailed or faxed back to you, or set aside for you to pick up at the clinic when ready.


Specialty Care Services

Your NEMS primary care provider will refer you to a specialist for consultation and treatment as needed. The following specialty services are available at NEMS, including:

  • Cardiology
  • Gastroenterology
  • General Surgery
  • Medical Dermatology
  • Nephrology
  • Obstetrics and Gynecology (OB/GYN)
  • Ophthalmology
  • Otolaryngology (Ear Nose Throat)
  • Podiatry
  • Radiology (X-ray)

Specialty services not provided at NEMS are available by referral to specialists in the community or at the hospital. It is your responsibility to pay for services provided to you and which are not covered by your health insurance plan or special programs.


Hospital Care

NEMS physicians have hospital privileges at select hospitals should you need hospitalization. If you are admitted to a hospital outside of the NEMS network, you will be treated by a non-NEMS physician. In some cases, you may be treated by a hospitalist, a doctor who oversees your care at the hospital.

NEMS does not cover the cost of hospital emergency room or inpatient expenses at hospitals, nursing homes, etc. Contact your health plan or health insurance company for coverage conditions if you incur emergency room or inpatient expenses.


After-Hours and Emergency Care

A NEMS provider is on-call 24 hours a day to advise you. If your medical condition is an emergency condition, the provider will instruct you to go to the nearest emergency room or your designated hospital.

FOR LIFE-THREATENING EMERGENCIES (Heart Attack, Seizure, Can’t Breathe, Unconscious, etc.), CALL 9-1-1 IMMEDIATELY

Hospital emergency rooms are set up to handle severe and life threatening cases. Some examples of an emergency are when someone is:

  • Unable to breathe
  • Unconscious
  • Bleeding heavily
  • Paralyzed
  • In extreme pain

In this situation, please ask the hospital to notify your NEMS primary care provider.