Appointment Standards

Keystone First’s providers must meet the following appointment standards:

  • Your PCP should see you within 10 business days of when you call for a routine appointment. 
  • You should not have to wait in the waiting room longer than 30 minutes, unless the doctor has an emergency.
  • If you have an urgent medical condition, your provider should see you within 24 hours of when you call for an appointment.
  • If you have an emergency, the provider must see you immediately or refer you to an emergency room.
  • If you are pregnant and    
    • In your first trimester, your provider must see you within 10 business days of Keystone First learning you are pregnant.
    • In your second trimester, your provider must see you within 5 business days of Keystone First learning you are pregnant.
    • In your third trimester, your provider must see you within 4 business days of Keystone First learning you are pregnant.
    • Have a high-risk pregnancy, your provider must see you within 24 hours of Keystone First learning you are pregnant.