Adverse Events Insurance Coverage for Employees and Plan Members

Patient ProtectSM is an employee benefit program designed to address the financial impact of adverse events for patients and payers.

Patient Protect is more than an insurance product. The program combines education to patients, insurance coverage for patients and claims data from patients to achieve two main goals: protect patients and reduce the costs of healthcare.

Education To Patients
Patient Protect provides patient safety materials to educate employees about the risk of adverse events and empower them with tools to avoid injury during treatment. There are simple things patients can do to avoid medical complications.

First select the best: Information on Hospital Safety Scores (powered by Leapfrog) to help patients make informed decisions on where to receive treatment and minimize risk of complications.

Then Protect Yourself: Education about type of adverse events, who is at risk and what patients can do to prevent complications.

AMRC engaged leaders in patient safety and public health to develop the educational material. The material will be distributed to employees as part of the insurance coverage. It will be available online so it is readily accessible during critical time of need.

Coverage For Patients
Patient Protect provides insurance coverage to compensate patients who suffer injury as a result of covered adverse events and incentive to those patients to report the adverse events through the claims process. The coverage provides a range of scheduled benefits in four categories, as outlined below. The premiums for the coverage are flexible to accommodate a variety of budgets and the other components (education and data) are included at all levels of participation.

    The Patient Protect program provides scheduled benefits in four categories, each with a range of available levels of benefits:

  1. Extended Hospitalization: $50 to $300 per day beyond the scheduled admission; 30 day maximum; elimination period options are 0 to 7 days
  2. Temporary Physical Impairment: $0 to $100 per day; 90 day duration; elimination period options of 1 to 4 weeks
  3. Permanent Physical Impairment: $50,000 to $250,000
  4. Unexpected Death: $50,000 to $250,000

Benefits to Payer:
While the direct benefits of the coverage component are geared toward injured patients, the notice of claims for these benefits are intended to provide payers the opportunity to contest medical bills for additional treatment or negotiate reduced payment for these services.

Think about it, why should healthcare payers pay medical providers to treat injuries cause by medical errors?

Data From Patients
Patient Protect will generate unique claims data that can be used by consumers and payers to make informed decisions about medical providers and improve patient safety going forward. What makes this data unique is its source. There are only two parties to an adverse event; patients and providers. Currently, ALL data on adverse events comes from medical providers and their billing systems. Data from the Patient Protect program will come directly from patients and their medical records. This unique data will be valuable to all consumers, payers and the entire healthcare industry.

This is only a brief description of the coverage(s) available. The Policy will contain reductions, limitations, exclusions, and termination provisions. For costs and complete details of the coverage(s) contact Mark Schilling at The Adverse Events Insurance is underwritten by National Union Fire Insurance Company of Pittsburgh, Pa., an insurance subsidiary of American International Group, Inc., with its principal place of business in New York, New York. This program is only available underwritten by National Union Fire Insurance Company of Pittsburgh, Pa. in the state of Texas for employer/employee groups only.