Types of Services |
Standard |
Access to non-urgent appointments or primary care – regular and routine care (with a PCP) |
Within 10 business days of request |
Access to non-urgent appointments for mental health (non-physician) |
Within 10 business days of request |
Access to urgent care services that do not require prior authorization |
Wait time not to exceed 48 hours of request |
Access to urgent care (specialist and other) services that require prior authorization |
Wait time not to exceed 96 hours of request |
Access to non-urgent appointments with a specialist |
Within 15 business days of request |
Access to after-hours care (with a PCP) |
Ability to contact on-call physician after hours within 30 minutes for urgent issues |
Access to preventive health services within 30 business days of request |
Access to preventive health services within 30 business days of request |
Non-urgent appointments for ancillary services for the diagnosis or treatment of injury |
Within 15 business days of request |
In-office wait time for scheduled appointments (PCP) |
Not to exceed 45 minutes |
In-office wait time for scheduled appointments (PCP) |
Not to exceed 60 minutes |