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Patient's Bill of Rights takes effect soon

Learn the background behind the news.
Learn the background behind the news.
Photo credit: 
Pat O'Malley

Throughout last summer, the winter, and into the spring, Americans struggled with reforming our health insurance system. Finally, the Patient Protection and Affordable Care Act became Public Law 111-148 on March 23. Now, beginning in September, hundreds of thousands of people who patronize the dozens of hospitals and health care facilities in the Pittsburgh area will finally see benefits of the new health insurance reform law.

The White House has announced the Patient’s Bill of Rights. As President Barack Obama said, “Starting in September, some of the worst abuses will be banned forever. No more discriminating against children with pre-existing conditions. No more retroactively dropping somebody’s policy when they get sick if they made an unintentional mistake on an application. No more lifetime limits or restrictive annual limits on coverage. Those days are over.”

The Patient’s Bill of Rights:

1. Prevents insurance companies from canceling your policy if you get sick.

Right now, insurance companies can retroactively cancel your policy when you become sick if you or your employer made an unintentional mistake on your paperwork.

2. Stops insurance companies from denying coverage to children with pre-existing conditions. Beginning in September, discrimination against children with pre-existing conditions will be banned—a protection that will be extended to all Americans in 2014.

3. Prohibits setting lifetime limits on insurance policies issued or renewed after Sept. 23, 2010.

No longer will insurance companies be able to take away coverage at the very moment when patients need it most. More than 100 million Americans have health coverage that imposes lifetime limits on care.

4. Phases out annual dollar limits on coverage over the next three years.

Even more aggressive than lifetime limits are annual dollar limits on what an insurance company will pay for your health care. For the people with medical costs that hit these limits, the consequences can be devastating.

5. Allows you to designate any available participating primary care doctor as your provider.

You’ll be able to keep the primary care doctor or pediatrician you choose, and see an OB-GYN without referral.

6. Removes insurance company barriers to receiving emergency care and prevents them from charging you more because you’re out of network.

You’ll be able to get emergency care at a hospital outside of your plan’s network without facing higher co-pays or deductibles or having to fight to get approval first.

The Affordable Care Act contains many more benefits for all Americans. You can get more information from the White House Health Insurance Reform page.

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, Pittsburgh Public Policy Examiner

Pat O'Malley has been a social service provider and public policy advocate since 1982. She is now a freelance writer and consultant for nonprofit organizations working toward social justice. You can contact Pat at www.patomalley-consulting.com.

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