Timeliness to Access to Care

Wellcare By Allwell wants the very best for you! Not only do we want you to receive the kind of care we want for ourselves, we also want you to have your appointments scheduled in a timely manner. For this reason, we worked closely with our providers to set guidelines for how soon they should schedule your requested appointment.

When you call to schedule an appointment, your provider’s office staff should schedule your appointment within a designated timeframe, based on your specific need for care at the time of your call. Below are the timelines your provider should follow. If you have any questions about these timelines, give us a call using the phone number on the back of your member ID card.

Below is a description of the terms used above:

Urgent Care: A medical condition that provides a quick diagnosis or treatment of a non-life-threatening illness or injury. Examples may be an unexplained fever, flu symptoms, an inflamed insect bite, non-life-threatening burns or cuts that may require stitches.

Routine Care: Care you get from your primary care provider (PCP) or other doctors that your PCP sends you to. Examples of routine care can be checkups, physicals, health screenings and care for health problems like diabetes, hypertension and asthma.

Non-Life-Threatening Emergency: A crisis that needs immediate treatment, is not life-threatening, but could turn to a life-threatening condition if treatment is delayed.

Routine Follow-Up Care: Follow-up care from a provider may be scheduled to check on and monitor a patient’s well-being and/or medication effects.