Are there time limits on waiting for a psychiatry appointment, and rules regarding authorizing out of network care (California)?

I have Kaiser through my employer in California. The psychiatrist who was prescribing my anxiety meds for a long time apparently left Kaiser a “long time ago,” which I only found out because I called to make an appointment for some recent issues I’ve been having. That was weird because my prescription was still being filled in his name.

But anyway, they offered to switch me to another psychiatrist, but couldn’t get me even a telephone appointment for 2 1/2 months. This seems crazy. I explained I was having a bit of a crisis, and they basically said go to the ER if I had to until my appointment in 2 1/2 months. I asked if this was a pandemic related issue, and they said no, Kaiser psyche has always been short of doctors.

I know there are some laws, particularly in workers comp (which this isn’t, its my regular health insurance) that say an insurance company has to authorize out of network treatment if they don’t have an in network doctor within a certain area or available within a certain time.

Is there a rule about this for regular health insurance?

submitted by /u/moralprolapse
[link] [comments]I have Kaiser through my employer in California. The psychiatrist who was prescribing my anxiety meds for a long time apparently left Kaiser a “long time ago,” which I only found out because I called to make an appointment for some recent issues I’ve been having. That was weird because my prescription was still being filled in his name. But anyway, they offered to switch me to another psychiatrist, but couldn’t get me even a telephone appointment for 2 1/2 months. This seems crazy. I explained I was having a bit of a crisis, and they basically said go to the ER if I had to until my appointment in 2 1/2 months. I asked if this was a pandemic related issue, and they said no, Kaiser psyche has always been short of doctors. I know there are some laws, particularly in workers comp (which this isn’t, its my regular health insurance) that say an insurance company has to authorize out of network treatment if they don’t have an in network doctor within a certain area or available within a certain time. Is there a rule about this for regular health insurance? submitted by /u/moralprolapse [link] [comments]Read Morer/HealthInsurance

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