In which instance can a patient not be charged for medical records?

The scenario in which a patient cannot be charged for medical records is when those records are requested to support a disability application. Under federal regulations, particularly the Health Insurance Portability and Accountability Act (HIPAA), patients have the right to access their medical records without being charged for them when the request is made in the context of applying for government benefits, such as disability. This provision ensures that individuals have the necessary documentation without facing additional financial barriers that could hinder their access to essential support.

In contrast, requests for medical records for general inquiries, by another healthcare provider, or by legal authorities typically involve administrative costs and can be subject to fees. These situations are considered routine or official queries and are understandably associated with charges, as the processing and provision of these records require resources.