Advice Nurse. If you are feeling ill and are not sure about where you should go to obtain care or do not know whom to call, you may call the 24/7 Advice Nurse for help. A nurse is available twenty-four (24) hours a day, seven (7) days a week at (000) 000-0000, or for the hearing-impaired through Relay Nevada’s TDD/TYY at 0-000-000-0000. You may call toll free for assistance at 1-800- 288-2264. Free Standing Emergency Room Facilities These facilities are licensed to provide emergency medical care and are physically separate from hospitals. However, unlike hospital- based emergency rooms, these facilities often do not provide services for critical conditions such as trauma, stroke, and heart attacks; most do not receive ambulances or have an operating room on site. Please contact the 24/7 Advice Nurse if you have questions on where to go to obtain the appropriate level of service.
Advice Nurse. If you are feeling ill and are not sure about where you should go to obtain care or do not know whom to call, you may call the 24/7 Advice Nurse for help. A nurse is available twenty-four (24) hours a day, seven (7) days a week at (000) 000-0000, or for the hearing-impaired through Relay Nevada’s TDD/TYY at 0-000-000-0000. You may call toll free for assistance at 1-800- 288-2264. Free Standing Emergency Room Facilities These facilities are licensed to provide emergency medical care and are physically separate from hospitals. However, unlike hospital- based emergency rooms, these facilities often do not provide services for critical conditions such as trauma, stroke, and heart attacks; most do not receive ambulances or have an operating room on site. Please contact the 24/7 Advice Nurse if you have questions on where to go to obtain the appropriate level of service. Gastric Restrictive Surgical Services Covered Services include Prior Authorized Medically Necessary Gastric Restrictive Surgical Services for extreme obesity under the following circumstances: • Have a body mass index (BMI) of greater than or equal to 40kg/m2; or • Have a BMI between 35.1-39.9 kg/m2 with significant co-morbidities; and • Can provide documented evidence that dietary attempts at weight control are ineffective; and • Must be at least 18 years old. Documentation supporting the reasonableness and necessity of a Gastric Restrictive Surgical Service is required, including compliant attendance at a medically supervised weight loss program (within the last twenty-four (24) months) for at least six (6) consecutive months with documented failure of weight loss. Significant clinical evidence that weight is affecting overall health and is a threat to life will also be required. SHL requires that an initial psychological/ psychiatric evaluation resulting in a recommendation for Gastric Restrictive Surgical Services is performed prior to review consideration by SHL’s Managed Care Program. SHL may also require participation in a post- operative group therapy program. Treatment for complications resulting from Gastric Restrictive Surgical Services will be covered the same as any other illness. Gender Dysphoria Covered Services for Gender Dysphoria, a disorder characterized by diagnostic criteria classified in the current edition of the Diagnostic and Statistical Manual of the American Psychiatric Association, are provided if Prior Authorized and if the following diagnostic criteria are met: For ...
Advice Nurse. If you are feeling ill and are not sure about where you should go to obtain care or do not know whom to call, you may call the 24/7 Advice Nurse for help. A nurse is available twenty-four (24) hours a day, seven (7) days a week at (000) 000-0000, or for the hearing-impaired through Relay Nevada’s TDD/TYY at 0-000-000-0000. If you are traveling outside HPN’s Service Area, you may call toll free for assistance at 0-000-000-0000. Free Standing Emergency Room Facilities These facilities are licensed to provide emergency medical care, and are physically separate from hospitals. However, unlike hospital- based emergency rooms, these facilities often do not provide services for critical conditions such as trauma, stroke, and heart attacks; most do not receive ambulances or have an operating room on site. Please contact the 24/7 Advice Nurse if you have questions on where to go to obtain appropriate services.
