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What's New | Current Newsletter | Newsletter Archive | Newsletter Sign Up We hope this newsletter finds everyone in good health and spirits after the holiday season and unseasonable weather for our area. Since our last newsletter, we have been busy providing medical support to the hundreds of athletes who participated in the Orange Classic soccer tournament, we have continued our commitment to the Weston Soccer Club, and recently we began our relationship with Weston Warrior Lacrosse. We strive to touch each and every part of the community with both preventative medicine as well as acute care. Our subject in this edition pertains to a sore subject with both health care providers and patients- HMO coverage or lack thereof. However, the following article provides some hope to anyone who has ever experienced the frustration of dealing with a denial for service/payment.
White House Officials may soon allow patients to challenge decisions made by managed care groups. The new regulations, which may be in the process of being finalized as you read this, give patients more health care freedom, such as: · Access to their medical records Managed care organizations will have 15 days to respond to the benefits claims and 30 days for an appeal, or face possible litigation. However, litigation actions are limited by the 1974 Employee Reitrement Income Security Act, which restricts lawsuits against health care plans to federal courts and caps damages only to the cost of denied care.
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