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 Protection for All Patients with Private Insurance |
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HMOs Can't Arbitrarily Interfere with Medical
Decisions |
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Effective Independent External Appeals |
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Ability to Hold Plans Accountable |
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Real Emergency Room Access |
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Prohibition on Gag Rules and Improper Financial
Incentives |
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Guaranteed Access to Specialists |
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Access to Out-of-Network Providers |
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Guarantee Network Meets Needs |
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Specialist Can Coordinate Care for Chronically Ill
Patients |
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Standing Referrals to Specialists |
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Access to Ob/Gyn Services |
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Ability to Keep Your Doctor or Health Care
Professional |
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Access to Needed Prescription Drugs |
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Access to Clinical Trials |
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Information on Plan Quality, Exclusions, and
Charges |
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Protection For Providers who Advocate for Patients |
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Protection Against Providers/Patient Discrimination |
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