The ACA protects people enrolled in clinical trials
Under the Patient Protection and Affordable Care Act (ACA), most health plans must pay routine health care costs for patients who participate in clinical trials for to prevent, detect or treat cancer and other life-threatening conditions. Routine costs include services that the health insurer would cover for a person not in a clinical trial, such as:
- Visits to your doctors' offices
- Laboratory tests
- Drugs associated with standard treatment or supportive care
Health plans are not required to cover visits to out-of-network providers, nor are they required to cover the cost of investigational or experimental treatments (usually provided by the study when you participate in a clinical trial).