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  2. Mature minor doctrine - Wikipedia

    en.wikipedia.org/wiki/Mature_minor_doctrine

    Minors aged 15 and up have the authority to consent to (but not necessarily refuse) medical treatment. [25] Pennsylvania: 18 Minors aged 18 or who have completed high school can consent to medical treatment. [25] South Carolina: 16 Minors aged 16 and up can consent to any medical treatment other than "operations". [25] Tennessee: 7

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [2] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...

  4. Surrogate decision-maker - Wikipedia

    en.wikipedia.org/wiki/Surrogate_decision-maker

    Youth withdraw medical treatment from the elderly. Usually the next of kin to the elderly are younger, and know what the best interests of the elderly are and have discussed. Although at times it is difficult to explain the wishes of the patient to the physician or care team when the proxy disagrees with the patient they are representing. 6.

  5. Medical necessity - Wikipedia

    en.wikipedia.org/wiki/Medical_necessity

    Medical necessity is a legal doctrine in the United States related to activities that may be justified as reasonable, necessary, and/or appropriate based on evidence-based clinical standards of care. In contrast, unnecessary health care lacks such justification. Other countries may have medical doctrines or legal rules covering broadly similar ...

  6. Emergency Medical Treatment and Active Labor Act - Wikipedia

    en.wikipedia.org/wiki/Emergency_Medical...

    An emergency medical condition (EMC) is defined as "a condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in placing the individual's health [or the health of an unborn child] in serious jeopardy, serious ...

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