June 29, 2010
HHS Releases regulations on "Patients Bill of Rights"
The Departments of Health and Human Services (HHS), Labor and Treasury issued regulations to implement a new “Patient’s Bill of Rights” under the Patient Protection and Affordable Care Act (PPACA). This bill is designed to protect consumers choice of doctors, and help end lifetime limits on care and assist children with pre-existing conditions gain health coverage. These new protections apply to nearly all individual and group health insurance plans. Further guidelines defining “essential benefits” may impact implementation of the provisions described below. The information in this Reform Alert includes highlights of the Patient’s Bill of Rights regulations. Review the complete regulations.
Pre-existing Condition Exclusions:
Annual Dollar Limits:
Lifetime Dollar Limits:
Choice of Health Care Professional:
Choice of Primary Care Provider:
Choice of Pediatrician as Primary Care Provider for a Child:
Access to Obstetric and Gynecological Care:
Coverage of Emergency Services
Source: This article was originally published by Blue Cross Blue Shield of Michigan.The information on this website is based on BCBSLA’s review of the national health care reform legislation and is not intended to impart legal advice. Interpretations of the reform legislation vary, and efforts will be made to present and update accurate information. This overview is intended as an educational tool only and does not replace a more rigorous review of the law's applicability to individual circumstances and attendant legal counsel and should not be relied upon as legal or compliance advice. Analysis is ongoing and additional guidance is also anticipated from the Department of Health and Human Services. Additionally, some reform regulations may differ for particular members enrolled in certain programs such as the Federal Employee Program, and those members are encouraged to consult with their benefit administrators for specific details.
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