HHP 4040 Final Exam
Study Guide
The patient bill of rights overview/goals - Answer -To help patient feel more confident in
the health care system
-To stress the importance of a strong relationship between patietns and their health
care providers
-To stress the key role that patients play in staying healthy by laying out patient rights
and responsibilities for all patients and health care providers
The right to information about quality - Answer -you must be able to recieve accurate,
easy to understand information about health plans, healthcare professionals, and
hospitals and clinics so that you can choose your care wisely
The right to choose a healthcare provider - Answer -All healthcare plans must offer you
a wide range of coverage options so that you dont have to wait for any services needed.
Women must have a choice of gynecological and OB professionals, and anyone who
needs the services of a specialist must be able to get them. If plans do nto fulfill these
basic provisions, you have the right to seek care outside of the plan at no additonal cost.
The right to emergency services - Answer -you should not need permission to use
emergency services if you have symptoms that a reasonable person would consider an
emergency. While this stipulation seems somewhat unclear, it is meant to prevent
people from using the convenience of ERs rather than scheduling appt at Dr. offices.
This right also protects patients by ensuring they arent held back from using emergency
services by health plans attempting to save money.
The right to make decisions - Answer -You must be given all the information you need to
make decisions about your healthcare. No one else can make those decisions for you
under the following conditions:
-If you are unable to make decisions (due to physical or mental health) and you have
legally handed over that right to a designated family member or a friend
-If you are the responsibility of a person assigned to you by a court
-Drs and other healthcare professionals may recommend a particular course of action,
but you must be informed of all other options and be given the opportunity to carefully
consider those optiosn before preceeding
-You have the right to refuse treatment. To make sure you can exercise that right, it is
best to spell out ahead of time what kinds of treatment you want or dont want in case
, you become extremely ill and are able to speak for yourself. A living will is one way to do
that.
The right to respect - Answer -You must be treated with respect and good manners, and
may not be discriminated against for any reason including sex, age, race nationality,
religion, sexual orientation or disability
-Drs should see you as soon as possible, and not keep you waiting any longer than is
necessary. Once they see you, they should attempt to give you all the time that you need
to understand your diagnoses and explain you treatment options.
The right to confidentiality - Answer -Healthcare professionals, insurers, and suppliers
may not discuss your health history with employers or anyone else unless you give them
permission to, except if the exchange of information is necessary for your care, and in
some cases where the law or public health are concerned.
-You have the right to access any and all of your healthcare records.
The right to complain - Answer -You have the right to report and seek quick resolutions
to any problems you have with your healthcare. Matters that might be of concern to you
include, billing, denied treatment, waiting times, how you have been treated, and lack of
services.
-All health plans, providers, and related institutions should have internal systems in
place to handle both complaints and appeals. The process for these should be easy to
understand and participate in, and all rules should be made known to you.
Patient bill of rights standards - Answer -No patient should have more rights than
another patient
-The PBofR incorporates some commonly accepted american attitudes like healthcare
should be available to everyone, health coverage should be affordable, people who are
particularly vulnerable deserve extra help, patients should be encouraged to participate
in clinical trials
Consumer Protections under the ACA - Answer -Premium increases of more than 10%
must be explaned and clearly justified
-The right to an easy to understand summary of benefits and coverage
-Young adults can stay on parents plicy until age 26
-Cannot deny patients due to pre-existing conditions
-If your plan denies payment for a medical treatment or service, you must be told why
and how to appeal the decision
-If a company does cancel your coverage, they must give you 30 days notice
Benefits of consumer protections - Answer -Ban on lifetime limits
Study Guide
The patient bill of rights overview/goals - Answer -To help patient feel more confident in
the health care system
-To stress the importance of a strong relationship between patietns and their health
care providers
-To stress the key role that patients play in staying healthy by laying out patient rights
and responsibilities for all patients and health care providers
The right to information about quality - Answer -you must be able to recieve accurate,
easy to understand information about health plans, healthcare professionals, and
hospitals and clinics so that you can choose your care wisely
The right to choose a healthcare provider - Answer -All healthcare plans must offer you
a wide range of coverage options so that you dont have to wait for any services needed.
Women must have a choice of gynecological and OB professionals, and anyone who
needs the services of a specialist must be able to get them. If plans do nto fulfill these
basic provisions, you have the right to seek care outside of the plan at no additonal cost.
The right to emergency services - Answer -you should not need permission to use
emergency services if you have symptoms that a reasonable person would consider an
emergency. While this stipulation seems somewhat unclear, it is meant to prevent
people from using the convenience of ERs rather than scheduling appt at Dr. offices.
This right also protects patients by ensuring they arent held back from using emergency
services by health plans attempting to save money.
The right to make decisions - Answer -You must be given all the information you need to
make decisions about your healthcare. No one else can make those decisions for you
under the following conditions:
-If you are unable to make decisions (due to physical or mental health) and you have
legally handed over that right to a designated family member or a friend
-If you are the responsibility of a person assigned to you by a court
-Drs and other healthcare professionals may recommend a particular course of action,
but you must be informed of all other options and be given the opportunity to carefully
consider those optiosn before preceeding
-You have the right to refuse treatment. To make sure you can exercise that right, it is
best to spell out ahead of time what kinds of treatment you want or dont want in case
, you become extremely ill and are able to speak for yourself. A living will is one way to do
that.
The right to respect - Answer -You must be treated with respect and good manners, and
may not be discriminated against for any reason including sex, age, race nationality,
religion, sexual orientation or disability
-Drs should see you as soon as possible, and not keep you waiting any longer than is
necessary. Once they see you, they should attempt to give you all the time that you need
to understand your diagnoses and explain you treatment options.
The right to confidentiality - Answer -Healthcare professionals, insurers, and suppliers
may not discuss your health history with employers or anyone else unless you give them
permission to, except if the exchange of information is necessary for your care, and in
some cases where the law or public health are concerned.
-You have the right to access any and all of your healthcare records.
The right to complain - Answer -You have the right to report and seek quick resolutions
to any problems you have with your healthcare. Matters that might be of concern to you
include, billing, denied treatment, waiting times, how you have been treated, and lack of
services.
-All health plans, providers, and related institutions should have internal systems in
place to handle both complaints and appeals. The process for these should be easy to
understand and participate in, and all rules should be made known to you.
Patient bill of rights standards - Answer -No patient should have more rights than
another patient
-The PBofR incorporates some commonly accepted american attitudes like healthcare
should be available to everyone, health coverage should be affordable, people who are
particularly vulnerable deserve extra help, patients should be encouraged to participate
in clinical trials
Consumer Protections under the ACA - Answer -Premium increases of more than 10%
must be explaned and clearly justified
-The right to an easy to understand summary of benefits and coverage
-Young adults can stay on parents plicy until age 26
-Cannot deny patients due to pre-existing conditions
-If your plan denies payment for a medical treatment or service, you must be told why
and how to appeal the decision
-If a company does cancel your coverage, they must give you 30 days notice
Benefits of consumer protections - Answer -Ban on lifetime limits
