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