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Hospital stay

Your doctor will help coordinate your care if you should ever need to be admitted to a hospital on a non-emergency basis.

Our team will help monitor your care by performing initial and ongoing reviews. This is to make sure the health care services you receive are appropriate, provided in the right setting, and medically necessary. If you’re admitted to a hospital outside of our service area, we may review your medical records to evaluate the appropriateness of the medical care, services, treatments, and procedures you received.

Depending on your situation, we’ll arrange for any ongoing medically necessary care, services, and equipment you need after leaving the hospital. This may include in-home care or transferring you to another facility.

If you have any questions, please call Customer Service toll-free at 1-800-650-6232, TTY 711. Customer Service hours: October 1 - February 14: 8 a.m. - 8 p.m. local time, 7 days a week. February 15 - September 30: 8 a.m. - 8 p.m. local time,  Monday - Friday. On Saturday, Sunday and holidays, please leave a detailed message and a representative will return your call within one business day.