Emergency Room Services
Paramount’s belief in patient safety and well-being extends to our policy concerning emergency room services for our members. No referral is ever required for treatment of an emergency medical condition. How do we define an emergency medical condition?
An emergency medical condition manifests itself by acute symptoms of sufficient severity (including severe pain). In a medical emergency, a prudent layperson with an average knowledge of health and medicine could reasonably expect the following to happen if they did not seek medical attention:
- The health of an individual (or, with respect to a pregnant woman, the woman’s health and that of her unborn child) would be placed in serious jeopardy.
- Bodily functions would be seriously impaired.
- Any bodily organ or part would suffer serious dysfunction.