Insurance Coverage & Medical Aid in Dying

There is a common misconception that utilizing medical aid in dying will have a negative impact on insurance coverage. But the fact is that there is NO connection between denial of insurance coverage and medical aid in dying.

As a board-certified physician in family medicine, hospice and palliative medicine for 30 years in Montana, where medical aid in dying has been authorized since 2009, I can say with certainty that there is no connection between the availability of this end-of-life care option and the denial of treatment by insurance companies. Insurance companies won’t cover unproven or experimental treatments — regardless of whether or not a state has authorized medical aid in dying. Using insurance companies as a justification to prevent dying patients from accessing this humane palliative care option to peacefully end unbearable suffering is cruel and mean-spirited.
Eric Kress, M.D.
family, hospice and palliative care physician in Missoula, MT


1. It is illegal for anyone, including an insurance company, to coerce an individual to request or use medical aid in dying.

2. Regardless of whether a state has authorized medical aid in dying, insurance providers cover treatments that are deemed effective and proven, and not those considered unnecessary, experimental or below the standard of care.

3. A research article published in the New England Journal of Medicine and coauthored by Dr. Ezekiel Emanuel, a public opponent of medical aid in dying, concludes that insurers have no financial incentive to pressure patients to accelerate their deaths.

4. The vast majority of people who choose medical aid in dying are enrolled in hospice services. They have already discontinued expensive, curative treatments, so an insurance company is not saving money by approving a request for medical aid in dying.

5. In 23 years of experience with medical aid in dying in Oregon and 40 years of combined experience in other authorized jurisdictions, there has not been a single proven incidence of an insurance company denying treatment because of the availability of medical aid in dying.

Compassion & Choices
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VICTORY: Colorado Gov. Jared Polis signed the improved End-of-Life Options Act.