What does the patient hold harmless provision prevent in case of plan bankruptcy?

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The patient hold harmless provision is designed to protect patients in the event that their health insurance plan goes bankrupt. Specifically, this provision prevents the healthcare provider or the insurance company from billing the patient for services that were supposed to be covered under the plan. This means that if a patient received medical services and the insurance provider fails to pay due to bankruptcy, the patient cannot be compelled to pay for those services out of pocket. This provision is crucial for safeguarding patients from unexpected financial burdens that could arise due to the insolvency of their provider or insurer, ensuring that they are not left financially liable for costs that they were led to believe would be covered by their insurance.

The other options do not align with the intent and function of the hold harmless provision, which specifically focuses on billing practices rather than the quality of service, premium adjustments, or medication access.

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