Common use of Teladoc Clause in Contracts

Teladoc. Teladoc provides primary care and behavioral health consultations by phone or online. Teladoc Physicians can diagnose and treat basic medical conditions, and can also prescribe certain medication. Teladoc behavioral health consultations are not available for Members under age 13. Members under age 13 may obtain telebehavioral health services for Mental Health and Substance Use Disorders from MHSA Participating Providers. Teladoc is a supplemental service that is not intended to replace care from your Physician or your MHSA Participating Provider. How to access Teladoc By phone Call 1-800-Teladoc 24 hours a day, 7 days a week By secure online video Visit xxxxxxx.xxx/xxx 7 a.m. to 9 p.m. Pacific Time Telebehavioral health services Online telebehavioral health services for Mental Health and Substance Use Disorders are available through MHSA Participating Providers and are a Covered Service regardless of your age. Telebehavioral health includes counseling services, psychotherapy, and medication management with a mental health provider. Visit xxxxxxxxxxxx.xxx and click on Find a Doctor to access the MHSA network. Urgent care centers Urgent care centers are free-standing facilities that provide many of the same basic medical services as a doctor's office, often with extended hours but similar Cost Share. If your condition is not an emergency, but you need treatment that cannot be delayed, you can visit an urgent care center to receive care that is typically faster and costs less than an emergency room visit. Ambulatory Surgery Centers Many of the more common, uncomplicated, outpatient surgical procedures can be performed at an Ambulatory Surgery Center. Your cost at an Ambulatory Surgery Center may be less than it would be for the same outpatient surgery performed at a Hospital. Timely access to care Participating Providers agree to provide timely access to care. This means that when you call for an appointment, you will see your provider within a reasonable timeframe. Blue Shield’s access standards are listed below. When your appointment will occur Urgent appointments Appointment will occur Services that do not require prior authorization Within 48 hours Services that do require prior authorization Within 96 hours Non-urgent appointments Appointment will occur Primary Care Physician office visit Within 10 business days Specialist office visit Within 15 business days Mental or substance use disorder health provider (who is not a Physician) office visit Within 10 business days Other services to diagnose or treat a health condition Within 15 business days Phone inquiries Appointment will occur Access to a health care professional for phone screenings 24 hours a day, seven days a week Contact Customer Service to schedule interpreter services for your appointment. For more information about interpreter services, see the Language access services notice.