| Primary Care Physician | Response Standards |
|
Regular and Routine Care Appointments (i.e. preventive/well-care, routine non-symptomatic, physical, annual GYN exam) |
Within thirty (30) days |
|
Routine Non-Urgent (i.e. symptomatic )
|
Within seven (7) days |
|
Urgent Care Appointments (i.e. persistent diarrhea/vomiting, high fever) |
Within twenty-four (24) hours |
|
Emergency Care (i.e. life-threatening conditions)
|
Twenty-four (24) hours/ seven (7) days a week at any hospital |
|
Office Visit Wait Time for Scheduled Appointments |
Within 15 minutes, members should be taken to the exam room. |
|
Within 30 minutes, members should be seen by their doctor |
Providers
Practice Standards
Access and Availability
Total Health Care is committed to ensuring our members have access to the right care at the right place and in a timely manner. To ensure optimal health for our membership, access standards have been developed to help offices deliver timely medical care based on the severity of a patient’s health condition. Total Health Care monitors the ease with which members can access services based on the following timeframe expectations:
| Behavioral Health Care | Response Standards |
| Urgent Care appointments |
Within forty-eight (48) hours |
| Routine office visit |
Within ten (10) business days |
