Saint Mary’s HealthPlans Emergency Care Providers and Benefits

A medical emergency is the sudden, serious and unexpected onset of an acute illness or accident that is: (1) an immediate life or death condition; or (2) an illness, injury or severe pain that requires immediate medical attention, without which the person would be exposed to significant risk of serious illness, disability or death. Seek emergency services if you believe that the absence of immediate medical attention could result in:

• serious jeopardy to the health of the insured
• serious jeopardy to the health of an unborn child
• serious impairment of a bodily function or
• serious dysfunction of any bodily organ or part.

Bleeding, chest pain, poisonings, loss of consciousness or shortness of breath are examples of "medical emergencies." If you find yourself in an emergency situation, immediately call 911 or go to the nearest emergency room.

Saint Mary's Health Plans member can obtain needed emergency care services to screen and stabilize without prior authorization.

HealthFirst Emergency Care Providers SMHF Emergency List (pdf)
If you have questions about emergency/urgent care services, contact Saint Mary's HealthFirst Member Services at (775) 770-6060

Si Usted necesita esta información en Español por favor llame a los Servicios de Miembros 770-6900

Health Choice Emergency Care Providers SMHC Emergency List (pdf)
If you have questions about emergency/urgent care services, contact Saint Mary's Health Choice Member Services at (775) 770-6900

Si Usted necesita esta información en Español por favor llame a los Servicios de Miembros 770-6900

*If you're treated at any urgent care facility, your urgent/ambulatory care copay will apply, per visit. If you're referred to an emergency room for emergent illnesses or injuries such as heart attacks, unconsciousness, abdominal pain, open fractures or pregnancy related problems, your emergency care copay will apply.