P.R. Laws tit. 24, § 3043

2019-02-20 00:00:00+00
§ 3043. Rights— Acquisition and disclosure of information

Concerning the acquisition or disclosure of information, any patient, guardian, user or consumer of medical and hospital health services and facilities in Puerto Rico shall be entitled to:

(a) Receive true, reliable, timely, sufficient, and easily understood information fitting to his/her needs concerning those health insurance plans and health facilities and professionals he/she has selected or whose services he/she has solicited, so as to be able to make well-informed and intelligent decisions as to the plans, facilities, and professionals selected for him/herself or his/her ward, and pertaining to the health services he/she may require.

(b) Receive adequate and sufficient information regarding the benefits covered by the health plan; the cost of the premiums and deductible payments; the mechanisms and procedures for recovering costs and resolving disputes; the facilities and professionals participating in the plan and their location; the quality control mechanisms and procedures and the guarantees for insured and beneficiary satisfaction; the procedures that govern access to specialists and emergency services and the rules and procedures, including the institutional policy of the plan, relative to health care management.

(c) Receive adequate and sufficient information concerning the education, licensing, certification and re-certification of health professionals; their years in practice; their experience in providing treatment or conducting pertinent tasks or procedures; the reasonable alternatives for treatment for diagnosed conditions or ailments, including their cost and likelihood of success; the quality control mechanisms and procedures and the guarantees for patient, user or consumer satisfaction.

(d) Receive from medical and hospital health care facilities all adequate and sufficient information in relation to the personnel and the technical resources available for conducting a given procedure or service; to the education, training, and experience of the personnel available to conduct said procedures or services; to the mechanisms and procedures for quality control and guarantees as to the satisfaction of patients, consumers or users of their services.

History —Aug. 25, 2000, No. 194, § 5; Dec. 16, 2009, No. 176, § 2.