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Why do you need to know about your emergency room (ER) rights?

ANSWER

The Affordable Care Act requires insurance companies to cover care you receive in the ER if you have an emergency medical condition. You don't need to get approval ahead of time, and it doesn’t matter whether the hospital or facility is in or outside of your insurance network.

But the key words are "emergency medical condition." That means your symptoms are bad enough for you to think your health will be in danger if you don't get care right away. If you have time, try to check with your usual doctor first.

SOURCES:

Nationwide Children's Hospital: "ED vs. Urgent Care."

Palo Alto Medical Foundation: “When Should Urgent Care Services Be Used?”

Nemours Foundation: "Going to the Emergency Room."

Families USA: "The Patients' Bill of Rights."

Academic Emergency Medicine: "Rising Annual Costs of Dizziness Presentations to U.S. Emergency Departments."

FAIR Health: "Out-of-Network Docs at In-Network Hospitals."

Reviewed by Amita Shroff on July 16, 2018

SOURCES:

Nationwide Children's Hospital: "ED vs. Urgent Care."

Palo Alto Medical Foundation: “When Should Urgent Care Services Be Used?”

Nemours Foundation: "Going to the Emergency Room."

Families USA: "The Patients' Bill of Rights."

Academic Emergency Medicine: "Rising Annual Costs of Dizziness Presentations to U.S. Emergency Departments."

FAIR Health: "Out-of-Network Docs at In-Network Hospitals."

Reviewed by Amita Shroff on July 16, 2018

NEXT QUESTION:

Why do you need a lot of tests when you are in the emergency room (ER)?

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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

    This tool does not provide medical advice. See additional information.

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