Mahal naming Miyembro ng SFHP: Hindi naabot ng Kongreso ang isang kasunduan sa pagpopondo para sa Fiscal Year 2026, at ang pederal na pamahalaan ay isinara noong Oktubre 1. Bagama’t hindi natin alam kung gaano katagal ang pagsasara, magpapatuloy ang SFHP sa mga operasyon nito bilang normal. Maa-access mo pa rin ang pangangalaga na kailangan mo. Nagsusumikap kaming matiyak na hindi magambala ang iyong access sa pangangalaga. Kung makaranas ka ng anumang isyu, makipag-ugnayan sa Customer Service ng SFHP sa 1(415) 547-7800 o nang toll-free sa 1(800) 288-5555 (puwedeng i-dial ng user ng TTY ang 711). Bukas kami mula Lunes hanggang Biyernes, mula 8:00am hanggang 5:00pm.

1(415) 547-7800 Makipag-ugnayan sa Amin

Emergency and Post-Stabilization Services

Procedures for Emergency and Post-Stabilization Services

  • Authorizations are not required for emergency services.
  • Referral procedures are available for provision to SFHP members who present to emergency departments for non-emergency services.
  • Authorizations are required for post-stabilization services
    • For non-contracted hospitals, SFHP does not deny authorization requests for medically necessary post-stabilization services.
    • To submit an authorization request for inpatient admissions, please fax a face sheet to 1(415) 547-7822.
    • Hospitals shall provide SFHP with notice of an inpatient admission within 24 hours or by 5:00pm the next business day.
  • SFHP Contracted and Non-Contracted hospitals may contact SFHP’s Clinical Operations team by calling 1(415) 615-4525 (8:30am – 9:00pm, 7 days a week)
    • Upon reaching SFHP Clinical Operations staff, they contact the SFHP Medical Director, as needed, to assist with access issues and respond to hospital inquiries within 30 minutes and, if needed, to coordinate the transfer of a Member whose Emergency Medical Condition is stabilized to an appropriate Network Provider, if necessary.
    • After 9:00pm and until 8:30am, the call made to 1(415) 615-4525 is forwarded to the SFHP Medical Director or CMO that is on-call.
  • If SFHP systems or protocols fail, SFHP will require a Corrective Action with a remedy and mitigation implemented as soon as possible.
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