The following are summaries of legal notices regarding your rights and procedures to protect those rights.

• Affordable Care Act:
  • Montefiore Non-Discrimintation Notice
  • Group Health Plan Covered Entity
  • Grievance Policy
• Children’s Health Insurance Program (CHIP) Notice – If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs
• Medicare Part D Notice – If you and/or your family members are Medicare-eligible, federal law offers more choices for prescription drug coverage.
• Claiming Healthcare Benefits − Federal law requires your healthcare coverage to provide a process for filing claims for services and supplies that are urgent in nature in addition to procedures for post service claims.
• Consolidated Omnibus Budget Reconciliation Act (COBRA) − COBRA gives workers and their families who lose their health benefits the right to choose to continue their group health benefits for limited periods of time under certain circumstances.
• Family and Medical Leave Act (FMLA) − FMLA provides up to 12 work weeks of unpaid leave for certain family and medical reasons. If you utilize FMLA leave, you can elect to continue your health coverage provided that you pay the required premium. At the end of the leave, you generally have the right to return to the same job or an equivalent position.
• Genetic Information Nondiscrimination Act (GINA) − GINA prohibits employers, employment agencies, and labor unions from discriminating against employees based on genetic information. It also prohibits insurers from charging higher premiums based on genetic information or from using genetic information in underwriting decisions.
• Health Insurance Portability and Accountability Act of 1996 (HIPAA) − These privacy rules set limits on how health plans, pharmacies, hospitals, clinics, nursing homes and other direct-care providers use individually identifiable health information. It is important that you understand your rights to privacy and the protection of information related to your health. It is also important that you safeguard the privacy of our patients’ healthcare information.
• HIPPA Special Enrollment Rights – You may request a special enrollment in Montefiore’s healthcare coverage under the following circumstances:
  • Within 30 days of the date:
    • You or a family member loses other group health plan coverage (such as a spouse’s plan)
    • You acquire a new family member through marriage, birth, adoption or legal guardianship
  • Within 60 days of the date you or a family member:
    • Is no longer eligible for coverage under the State’s Children’s Health Insurance Program (CHIP) or Medicaid
    • Becomes eligible for premium assistance under the State’s Children’s Health Insurance Program (CHIP) or Medicaid.
• Marketplace Notice – An important provision of The Patient Protection and Affordable Care Act (PPACA) is the establishment of health insurance marketplaces. This notice provides some basic information about the Marketplace and employment-based health coverage offered by Montefiore-sponsored group health plans.
• Newborns’ and Mothers’ Health Protection − The Newborns' and Mothers' Health Protection Act (Newborns' Act) requires group health plans which offer maternity coverage to pay for at least a 48-hour hospital stay following childbirth (96-hour stay in the case of Cesarean section).
• Uniform Services Employment and Re-Employment Rights Act of 1994 (USERRA) − USERRA protects the job rights of individuals who voluntarily or involuntarily leave employment positions to undertake military service or certain types of service in the National Disaster Medical System. USERRA also prohibits employers from discriminating against past and present members of the uniformed services, and applicants to the uniformed services.
• Women’s Health and Cancer Rights (WHCRA) − WHCRA requires group health plans and health insurance issuers which provide coverage for medical and surgical benefits with respect to mastectomies to also cover certain post-mastectomy benefits. These benefits include reconstructive surgery and the treatment of complications.