HealthWorx
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
- Fainting
- Drug overdose
- Paralysis
- Severe cuts that won’t stop bleeding
- Psychiatric emergency conditions
Follow-up Care
After receiving emergency health care services necessary to stabilize your emergency medical condition, be sure to follow up with your Primary Care Physician.
Call HPSM’s Nurse Advice Line
If you are worried about your health, HPSM has a Nurse Advice Line open 24 hours a day, 7 days a week. Call 1-833-846-8773 if your healthcare provider is not available.
Registered nurses are ready to answer questions about your symptoms. They can tell you:
- How soon to see a healthcare provider
- What to do if your symptoms get worse
- What you can do at home to start feeling better