|
Type of Appointment |
Criteria |
Appointment
Examples |
| Physical Exam / Routine Care |
- Within one month (30 calendar days)
|
- Yearly well female physical exam
- Recheck for cholesterol
- Stable diabetic follow-up
|
| Minor Illness / Injury / Chronic /
Ongoing Condition |
- Within seven (7) calendar days
|
- Irritating or change in mole (nevus)
- Post-hospital follow-up
|
| Sick / Non-Urgent |
- Within three (3) calendar days
|
- Upper respiratory infection
- Flu
|
| Urgent Examination |
- Within twenty-four (24) hours
|
- Nausea / vomiting
- Palpitations
|
| Emergent Telephone Access |
- Call should be answered or handled immediately (triage).
|
|
| Waiting Time |
- The waiting time after arriving for an appointment does
not exceed thirty (30) minutes, unless the member is notified
of the delay.
|
|
| After-Hours Telephone Access |
- PCP will provide twenty-four (24)- hour availability or
arrange for twenty-four (24) hour coverage by an AvMed PCP in
order to respond to the urgent conditions of members on a
practitioner's panel.
|
|
