I need to see my doctor and my plan says that I have to wait.

Most health insurance plans are required by law to allow patients to see their doctors within specified time frames. Here are the basic rules:

  • Non-Urgent Doctor Appointment - within 10 business days

  • Non-Urgent Specialty Appointment - within 15 business days

  • Non-Urgent Mental Health Appointment - within 10 business days

  • Urgent Care Appointment (prior authorization not required by plan) - within 48 hours

More Info

If your health plan is regulated by the Department of Managed Health Care (DMHC), you can file a complaint online or by telephone at 1-888-466-2219. DMHC can force the plan to schedule an earlier appointment for you.

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Disclaimer: None of the information or links provided at this site are legal advice.