NPR

Anthem Policy Discouraging 'Avoidable' Emergency Room Visits Faces Criticism

Under the health insurer's policy, Anthem can retroactively restrict or deny coverage if the company decides that a visit to the emergency room could have been avoided.
The health insurance company Anthem has introduced a policy discouraging patients from "avoidable" emergency room visits. Patients and doctors are pushing back against the program.

One of the main principles behind purchasing health insurance is protection in the event of an emergency.

But in the case of Anthem, the nation's second-largest insurer, policy holders may be denied coverage if the company considers their visit to the emergency room unnecessary.

Under the health insurance company's "," Anthem can retroactively restrict or deny coverage if the company decides that the patient didn't actually have an emergency condition. For instance, if you

You’re reading a preview, subscribe to read more.

More from NPR

NPR5 min read
Here's This Year's List Of The Most Endangered Historic Places In The U.S.
The National Trust's annual list includes Eatonville, the all-Black Florida town memorialized by Zora Neale Hurston, Alaska's Sitka Tlingit Clan houses, and the home of country singer Cindy Walker.
NPR6 min readSocial History
For Many Missouri Catholics, Abortion Rights Means Choosing Between Faith, Politics
The state is shaping up to be big battleground over abortion rights in November. Research shows a majority of U.S. Catholics supports abortion rights — even though church leadership does not.
NPR2 min read
3 Salad Recipes To Segue From Winter To Spring
Think of these three salad recipes as an introduction to a new season, a combination of color, textures and bright spring flavors. They are light but substantial and satisfying enough to be a main course for lunch or dinner. 

Related Books & Audiobooks