尊敬的 SFHP 會員:國會未能就2026財年的資金達成協議,聯邦政府於10月1日停擺。雖然我們尚不清楚停擺將持續多久,但SFHP將繼續正常運作。您仍然可以獲得所需的護理。我們致力於確保您獲得照護的途徑不受影響。如果您遇到任何問題,請聯絡 SFHP 客戶服務部,電話:1(415) 547-7800,或免費電話 1(800) 288-5555 (TTY 使用者可撥打 711)。我們的營業時間為週一至週五,8:00am 至 5:00pm。

1(415) 547-7800 聯絡我們

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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