Cancer coverage: the plan’s 72 hours and the automatic yes
The plan has 24 to 72 hours to approve or deny your cancer treatment, 24 if urgent. If it does not answer on time, it is deemed approved.
Agency
Handles patient claims over violations of their rights by insurers, mental health organisations or health service providers. Under Act 47-2017 it summarily adjudicates, within no more than 72 hours, denials and delays relating to hospitalisation and emergencies.
Agency's official siteThe plan has 24 to 72 hours to approve or deny your cancer treatment, 24 if urgent. If it does not answer on time, it is deemed approved.
It covers insurers, mental health organisations and health service providers. It can be filed with a phone call.
Act 47-2017 stays the insurer’s determination and requires the Patient Advocate to resolve within 72 hours.
Act 14-2023 recognizes your right to care, education, affordable medicines, reasonable accommodations, and non-discrimination when applying for health coverage.
Act 162-2007 requires a participating gas station to help you pump gas on request, with no fee and at the self-service rate.
Act 81-1996 requires adding five points or 5%, whichever is greater, to a disabled applicant’s score on any entry or promotion exam.
MiPRFácil is an independent informational website and is not affiliated with, endorsed by, or operated by the Government of Puerto Rico or any government agency.
MiPRFácil does not submit applications on your behalf.