The Maryland Insurance Administration requires in-network providers to have policies and procedures in place to ensure that customers can be evaluated and/or treated for urgent* medical services within 72 hours, routine primary care within 15 calendar days, preventive care/well visits within 30 calendar days, and non-urgent specialty care within 30 calendar days.¹

Cigna Healthcare^℠ is required by the Maryland Insurance Administration to bi-annually measure access from our network of providers. This is a reminder of these requirements and provides the following information that can help identify urgent situations.

*A situation is urgent if:

• There is evidence that in the absence of medical care or treatment that it could put the customer’s life or health in serious jeopardy, lead to an inability to regain maximum function, seriously impair bodily function, cause serious dysfunction of any bodily organ or part, or subject the customer to severe pain that cannot be adequately managed without care.

Additional information

Go to the Legal Information Institute website to view the state regulation.²

¹ Preventive care services and periodic follow-up care including, but not limited to, standing referrals to specialty providers for chronic conditions, periodic office visits to monitor and treat pregnancy, cardiac or mental health or substance use disorder conditions, and laboratory and radiological monitoring for recurrence of disease, may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating provider acting within the scope of the provider’s license, certification, or other authorization. A visit scheduled in advance for preventive care services and periodic follow-up care may be disregarded when determining compliance with the waiting time standards.

² MD. Code Regs. 31.10.44.06-Appointment Waiting Time Standards. Legal Information Institute. 15 May 2023. Retrieved from https://www.law.cornell.edu/regulations/maryland/COMAR-31-10-44-06.