Patient Bill of Rights

A Patients Bill of Rights

Adopted in 1995
Source: Association of American Physicians and Surgeons, Inc.

All patients should be guaranteed the following freedoms:

To seek consultation with the physician(s) of their choice;
To contract with their physician(s) on mutually agreeable terms;
To be treated confidentially, with access to their records limited to those involved in their care or designated by the patient;
To use their own resources to purchase the care of their choice;
To refuse medical treatment even if it is recommended by their physician(s);
To be informed about their medical condition, the risks and benefits of treatment and appropriate alternatives;
To refuse third-party interference in their medical care, and to be confident that their actions in seeking or declining medical care will not result in third-party-imposed penalties for patients or physicians;
To receive full disclosure of their insurance plan in plain language, including:
1. CONTRACTS: A copy of the contract between the physician and health care plan, and between the patient or employer and the plan;
2. INCENTIVES: Whether participating physicians are offered financial incentives to reduce treatment or ration care;
3. COST: The full cost of the plan, including copayments, coinsurance, and deductibles;
4. COVERAGE: Benefits covered and excluded, including availability and location of 24-hour emergency care;
5. QUALIFICATIONS: A roster and qualifications of participating physicians;
6. APPROVAL PROCEDURES: Authorization procedures for services, whether doctors need approval of a committee or any other individual, and who decides what is medically necessary;
7. REFERRALS: Procedures for consulting a specialist, and who must authorize the referral;
8. APPEALS: Grievance procedures for claim or treatment denials;
9. GAG RULE: Whether physicians are subject to a gag rule, preventing criticism of the plan

Source: Association of American Physicians and Surgeons, Inc.
A Voice for Private Physicians Since 1943