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Overview of Healthcare System Healthcare in Puerto Rico is almost similar to what one expects in the US. Yes, that's true. Healthcare is of good quality, but conditions vary throughout the island, with some areas better than others. Overall Puerto Rico has a well-rounded healthcare system.
This is because, while Puerto Rico is not considered a state of the United States, it is considered a territory, and therefore, Medicare coverage is still in effect.
Covered entities doing business in Puerto Rico are subject to compliance. ?HIPAA Puerto Rico? consists of compliance with both federal HIPAA, as well as local Puerto Rico laws regarding medical record privacy and security.
Unfortunately, the insurance you have in your home state won't necessarily cover you in Puerto Rico. That's because the island is not a U.S. state. It's a territory, so not all of the rules on the mainland apply here. Healthcare providers here are different, so insurance providers are different too.
HIPAA, also known as Public Law 104-191, has two main purposes: to provide continuous health insurance coverage for workers who lose or change their job and to ultimately reduce the cost of healthcare by standardizing the electronic transmission of administrative and financial transactions.
A federal law called the HIPAA Privacy Rule gives you the right to see, get a copy of, and amend (correct) your medical record by adding information to it. (HIPAA stands for the "Health Insurance Portability and Accountability Act.") The laws of Puerto Rico also give you rights with respect to your medical record.
Medicare Advantage covers more than 70% of Medicare beneficiaries in Puerto Rico and accounts for approximately 50% of health care spending in the territory. Medicare Advantage enrollment increased in Puerto Rico in the 2000s in response to the Puerto Rican government promoting MA as a way to reduce costs.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
Overall, Puerto Rico has the highest Medicare Advantage penetration, with 94 percent of Medicare beneficiaries enrolled in a Medicare Advantage plan.
In most situations, Medicare won't pay for health care or supplies you get outside the U.S. The term ?outside the U.S.? means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.