coverage ethics

Coverage ethics refer to the principles guiding insurance companies and healthcare providers on fair and responsible decisions about what treatments or services are covered. It involves balancing patients’ needs, medical necessity, fairness, and financial sustainability. Ethical coverage ensures patients receive appropriate care without unnecessary procedures, while also managing resources wisely. It emphasizes transparency, consistency, and respecting patient rights, aiming to provide equitable access to healthcare services based on clear criteria rather than arbitrary or biased factors.