NO Hold plans accountable when their decisions to withhold or limit care injure patients. NO Allow patients undergoing treatment to continue with same provider if provider leaves plan or employer changes plans. Allow patients to see outside specialist at no additional cost when those in the plan can't meet their needs. YES NO NO Require plans to pay for emergency services if a reasonable person would consider the situation an emergency. YES NO .
Plans can refuse to cover or charge extra for non-network provider.
NO Prevent health care professionals from being financially rewarded for limiting a patient's care. NO Promote access to clinical trials. NO Allow patients to appeal denials or limitations of care to an external, independent entity whenever life or health is jeopardized. External review is not binding. Reviewer not allowed to make objective determination of medical necessity.