Petition To Protect Your Coverage of Emergency Care

 
 
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Health plans and state Medicaid offices increasingly want to cut costs by refusing or reducing payments for emergency care, based on your final diagnosis. If you think you’re having an emergency, but it turns out to be less serious, they may not pay — or may reduce payment — for the visit.

But most health plans are required by law to pay for ER visits if it seems like an emergency to the patient, even if it turns out to be less serious You should never be forced to self-diagnose your own medical condition. That’s the doctor’s job! — and even a skilled physician cannot always know your diagnosis when you walk in the door.

I believe health plans should pay for emergency care if I think I’m having a medical emergency. I should be able to go to the ER without fear that my visit won’t be covered if it turns out it’s not an “emergency.” 

 

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For More Information:

ACEP Takes Issue with Blue Cross/Blue Shield Report that is Based on Misleading Data  

https://www.acep.org/Content.aspx?id=48638&terms=blue%20cross%20blue%20shield
 

Health Plans and State Medicaid Officials Deny Coverage of Emergency Care, Misapplying a Research Tool, Says Research Author  

https://www.acep.org/Content.aspx?id=83971
 

Univera Analysis of Emergency Visits is Flawed  

https://www.acep.org/Content.aspx?id=82767
 

Nation’s Emergency Physicians Dispel Dangerous Myths About Emergency Care  

https://www.acep.org/content.aspx?id=46606  

 

Disclaimer: The American College of Emergency Physicians will not rent or sell your contact information to any outside sources. Information from the petitions maybe released as aggregate statistics.

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