Emergency Medical Care
If you have a medical emergency, call 9-1-1 or go to the nearest hospital emergency room.
- Emergency services are covered inside and outside of HPSM’s service area.
- Emergency services are covered in and out of HPSM’s participating facilities. You do not have to go to the hospital where your PCP works if you have a medical emergency.
- Emergency services include psychiatric screening, examination, evaluation and treatment by a physician or other personnel to the extent permitted by applicable law and within the scope of their licensure and privileges.
What is a medical emergency?
A medical emergency is a medical condition that could result, without immediate medical attention, in any of the following:
- Severe pain or injury posing a danger to health
- Critical dysfunction of any bodily functions, organs or parts
- In pregnant women, entering labor when:
- There is not enough time to safely get to another hospital before delivery
- Transfer to another hospital could endanger the health or safety of the member or unborn child
Examples of medical emergencies include:
- Broken bones
- Chest pain
- Severe burns
- Drug overdose
- Severe cuts that won’t stop bleeding
- Psychiatric emergency conditions
After receiving emergency health care services necessary to stabilize your emergency medical condition, be sure to follow up with your Primary Care Physician.
HPSM Nurse Advice Line
Call 1-833-846-8773 24 hours a day–7 days a week.
A Licensed Registered Nurse (RN) will give you medical advice when you think you need urgent medical attention, but you are not sure. A nurse will ask about your symptoms and tell you:
- If you need to go to Urgent Care
- If you can wait to see your doctor (within 24 hours, 3 days, or longer)
- How to take care of your symptoms at home
Learn more about the Nurse Advice Line.