Medicare Patient Choice Act of 1995

Summary

Medicare Patient Choice Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to require health maintenance organizations and competitive medical plans, among other things, to: (1) have a minimum 85 percent loss-ratio of benefits-to-premiums; (2) assure Medicare enrollees timely access to in-network primary and specialty health care providers and out-of-network providers as well; (3) establish a cost-sharing schedule for out-of-network services; (4) establish a grievance process with board of appeals hearings within 30 days of the filing of a complaint; and (5) provide each enrollee with an explanation of the enrollee's rights and a copy of the most recent consumer report card for the organization. Prohibits provider incentive plans that fail to meet specified criteria. Applies the same requirements to Medicare select policies.

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Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 14 September 1995

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• Introduced in House (PDF)

  Introduced in House · EN · 14 September 1995

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• Introduced in House

  summary · EN · 14 September 1995

  Open at official source

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