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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your friends and family members.
For More Information:
ACEP Takes Issue with
Blue Cross/Blue Shield Report that is Based on Misleading Data
Health Plans and
State Medicaid Officials Deny Coverage of Emergency Care, Misapplying a
Research Tool, Says Research Author
Univera Analysis of
Emergency Visits is Flawed
Physicians Dispel Dangerous Myths About Emergency Care
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.