ACEP responded to a new Harvard Pilgrim Health Care policy that will be implemented in New Hampshire on Jan. 1, 2019. It will apply a new 50 percent coinsurance for policyholders who seek care in an emergency department if their final diagnosis is determined to be “nonemergent,” based solely upon a list of diagnosis codes.
Explore This IssueACEP Now: Vol 37 – No 12 – December 2018
In a letter, ACEP calls for Harvard Pilgrim to halt implementation of this dangerous policy that expects patients to be able to self-diagnose to decide to seek emergency care. This policy follows efforts by other insurers to limit coverage of vital emergency care, including a similar Anthem BlueCross BlueShield policy already in effect in New Hampshire and several other states.