A medical emergency is defined as a sudden, unexpected onset of a medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonably result in any of the following: Placing the patient's health in serious jeopardy; Serious impairment to bodily functions; Serious dysfunction of any bodily organ or part. Desert Oasis Healthcare's Customer Service Department and your Primary Care Provider must be notified within 48 hours if emergency services were rendered to a member in an emergency room so that your visit may be covered by your health plan. In non-emergency situations, you need to contact your Primary Care Provider who will direct you as to the best course of action to take in obtaining treatment.
If a patient is injured or suddenly becomes ill, when medically possible, he or she should call his or her PCP for instructions for obtaining emergency services, regardless of the time of day. Your PCP or his/her designee is on-call 24 hours a day, 365 days a year. As appropriate, care will be provided, arranged or authorized by your Primary Care Provider. If you are unable to get an appointment, and your medical condition is not an emergency but does require prompt medical attention, you may utilize one of the Urgent Care or Immediate Care Centers listed below.
If you or a member of your family are out of town, or more than 30 miles from your
residence and require emergency medical attention, please seek care at the nearest
hospital's emergency room. Please notify Desert Oasis Healthcare within 48 hours
to report the emergency visit. Follow-up care must be provided by your Primary Care
Important: The use of an emergency room for non-emergency care may not be covered. Services which are not covered may be your financial responsibility.