KaleidoCare

Your Patient’s Bill of Rights

Uncategorized No Comment

There can be more than one Patient’s Bill of Right’s. Ask your health care provider for a copy of their Patient’s Bill of Rights.  The Affordable Care Act brought on a new Patient’s Bill of Rights in 2010.  Healthcare.gov lists the provisions of the Patient’s Bill of Rights under the Affordable Care Act

Creates the Health Insurance Marketplace, a new way for individuals, families, and small businesses to get health coverage;
Requires insurance companies to cover people with pre-existing health conditions;
Helps you understand the coverage you’re getting;
Holds insurance companies accountable for rate increases;
Makes it illegal for health insurance companies to arbitrarily cancel your health insurance just because you get sick;
Protects your choice of doctors;
Covers young adults under 26;
Provides free preventive care;
Ends lifetime and yearly dollar limits on coverage of essential health benefits;
Protects you from retaliation by your employer if you get a premium tax credit when you buy a health plan in the Marketplace, or if you report certain violations of the Affordable Care Act;
In addition to the rights and benefits included in this guide, here are some others:Breastfeeding equipment and support;
Birth control methods and counseling;
Mental health and substance abuse services;
Appealing a health plan decision

source: https://www.healthcare.gov/health-care-law-protections/

The Association of American Physicians and Surgeons, Inc adopted the list below as a Patient’s Bill of Rights.

All patients should be guaranteed the following freedoms:

To seek consultation with the physician(s) of their choice;
To contract with their physician(s) on mutually agreeable terms;
To be treated confidentially, with access to their records limited to those involved in their care or designated by the patient;
To use their own resources to purchase the care of their choice;
To refuse medical treatment even if it is recommended by their physician(s);
To be informed about their medical condition, the risks and benefits of treatment and appropriate alternatives;
To refuse third-party interference in their medical care, and to be confident that their actions in seeking or declining medical care will not result in third-party-imposed penalties for patients or physicians;
To receive full disclosure of their insurance plan in plain language, including:
CONTRACTS: A copy of the contract between the physician and health care plan, and between the patient or employer and the plan;
INCENTIVES: Whether participating physicians are offered financial incentives to reduce treatment or ration care;
COST: The full cost of the plan, including copayments, coinsurance, and deductibles;
COVERAGE: Benefits covered and excluded, including availability and location of 24-hour emergency care;
QUALIFICATIONS: A roster and qualifications of participating physicians;
APPROVAL PROCEDURES: Authorization procedures for services, whether doctors need approval of a committee or any other individual, and who decides what is medically necessary;
REFERRALS: Procedures for consulting a specialist, and who must authorize the referral;
APPEALS: Grievance procedures for claim or treatment denials;
GAG RULE: Whether physicians are subject to a gag rule, preventing criticism of the plan.

source:http://www.aapsonline.org/patients/billrts.htm

As a patient, you have rights.  Use this information as a guideline and ask for a copy of your healthcare providers Patient’s Bill of Rights.

 

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *