Central California Alliance for Health | Living Healthy | March 2018

W e know it is important for you to get care when you need it. But it is not always possible for a doctor to see you right away. You may have to wait longer for some types of appointments than others. For example, you should be able to get an urgent care (care when you are sick) appointment sooner than an appointment for a regular checkup. We work with the doctors and clinics in our network to make sure you can get care when you need it. We have always done this because we know it is important. Health plans in California have to meet certain standards for access to care. The regulations to put this law into place are called the Timely Access to Non- emergency Health Care Services standards. There are different standards for different types of appointments. In the chart at right are the standards. The waiting times for an appointment may be longer if the provider feels that it will not harm your health if you have a longer wait. If you feel you are not getting care when you need it, call Member Services at 1-800-700-3874 . 2018 © Coffey Communications, Inc. All rights reserved. LIVING HEALTHY is published for the members and community partners of CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, 1600 Green Hills Road, Suite 101, Scotts Valley, CA 95066, telephone 831-430-5500 or 1-800-700-3874, ext. 5505, website ccah-alliance.org . Information in LIVING HEALTHY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. ccah-alliance.org Member Services Director Editor Health Education Coordinator III Health Programs Supervisor Jan Wolf Erin Huang Mao Moua Sandra Orozco Deborah Pineda healthy living GETTING AN APPOINTMENT How long should you have to wait? Type of care you need Time to get an appointment Urgent care appointments that do not require prior authorization 48 hours Urgent care appointments that require prior authorization 96 hours Non-urgent primary care appointments 10 business days Non-urgent specialist 15 business days Non-urgent mental health provider (non-physician) 10 business days Non-urgent appointment for ancillary services for the diagnosis or treatment of injury, illness or other health condition 15 business days Telephone wait times during normal business hours 10 minutes Telephone triage (the Alliance’s Nurse Advice Line) 24/7 services—no more than 30 minutes your care