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Appointment Availability and Wait Times

Your health care providers must see you within three weeks when you call for a regular health care, mental health, vision, lab or x-ray appointment.

Sometimes you need medical care soon, but it is not an emergency. This is called urgent care. Your health care provider must have appointments within 48 hours when you need urgent care.

A provider may send you to see someone else when they are not able to see you that soon. If you see a new provider, remember to take your insurance cards with you.

Your time in the provider’s waiting room should not be longer than 45 minutes.

Please call Customer Service at 1-877-644-4623 if you need help making an appointment or if you experience long wait times in a provider’s office.

Appointment Availability

  • Routine: Within three weeks.
  • Urgent/sick visits: Within 48 hours.
  • Emergency: Same day or refer to an emergency room as needed
  • Preventive adult and well-child: Within one month.
  • After hours: An appropriate provider should call the member within 30 minutes of contacting the PCP.

  • First trimester: Within three weeks.
  • Second trimester: Within two weeks.
  • Third trimester: Within one week.
  • Urgent Care: Within 48 hours.
  • Routine: Within 15 business days.

  • Routine: Within 10 business days.
  • Urgent: Assessed within 24 hours and services delivered within 48 hours of assessment.
  • Emergency: Immediately or referred to an emergency room, as needed.
  • Person Who Injects Drugs: Assessment and admitted to treatment within 10 business days.
  • Pregnant Person Who Injects Drugs: Assessed within 24 hours. Services delivered within 24 hours of assessment. This includes prenatal care.

  • Routine: Initial or follow-up within 10 business days.
  • Urgent: Within 72 hours.
  • Emergency: Referred immediately.
  • Non-life-threatening Behavioral Health Emergency: Within six hours.
  • Post-Stabilization Services: Referral within one hour. Member assessed and/or treated within one hour of referral for post-stabilization services in an emergency room.

  • Routine: Within 30 days.
  • Urgent: Within 48 hours.