Advance directives are written instructions, recognized under state law, which relate to the provision of health care when the individual is incapacitated and unable to communicate his/her desires. Examples include such documents as a living will, durable power of attorney for health care, health care proxy or do not resuscitate (DNR) request.
EmblemHealth counts on its practitioners to honor a member's request regarding the type of care stipulated under an advance directive.
Upon enrollment, and consistent with relevant federal and state laws, each member receives the following:
- "Planning in Advance for Your Medical Treatment," a NYSDOH article which describes an individual's rights in New York State with respect to health care decision making.
- "Appointing Your Health Care Agent - New York State's Proxy Law," a NYSDOH article which provides information and a sample form to be used to appoint a "health care agent."
- A letter describing EmblemHealth's policy implementing the requirements under the law and regulations.
Our practitioners should discuss advance directives with their patients (as appropriate) and file a copy of any advance directive document in the medical record. Each medical record that contains an advance directive should clearly indicate that said document is included.
Glossary terms found on this page:
Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.
An individual and each of his or her eligible dependents, including Medicare beneficiaries who are enrolled or participate in a benefit program and who are entitled to receive covered services from the practitioner pursuant to such benefit program and the terms of the practitioner's agreement.
The state regulatory agency that certifies reimbursement methods and rates to hospitals and reviews HMO activities in the state of New York. Also called the New York State Department of Health.
A health plan that offers benefits in-network and out-of-network. In-network services are available to enrollees at lower out-of-pocket cost than the services of non-network providers. In addition, PPO enrollees may self-refer to any network provider at any time. Also called a Preferred Provider Organization.
New York State Department of Health. This agency provides information for consumers, doctors, researchers and health care providers.