Rights and Responsibilities

Your rights and responsibilities as a member of the Public-

You have the right to:

• Be treated with respect and dignity by all physicians and healthcare professionals.
• Privacy and confidentiality for treatments, tests or procedures you receive.
• Voice concerns about the service and care you receive.
• Register complaints and appeals concerning your provider or the care provided to you.
• Receive timely responses to your concerns.
• Participate in a candid discussion with your physician about appropriate and medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
• Be provided with access to health care, physicians and health care professionals.
• Participate with your physician or other caregivers in decisions about your care.
• Make recommendations regarding the organizations' customer's rights and responsibilities policies.
• Be informed of, and refuse to participate in, any experimental treatment.
• Have coverage decisions and claims processed according to regulatory standards.
• Choose an advance directive to designate the kind of care you wish to receive should you be unable to express your wishes.

You have the responsibilities to:

• Know and confirm your benefits before receiving treatment.
• Contact an appropriate health care professional when you have a medical need or concern.
• Show your ID card before receiving health care services.
• Pay any necessary co-payment at the time you receive treatment.
• Use emergency room services only for injury or illness that, in the judgment of a reasonable person, requires immediate treatment to avoid jeopardy to life or health.
• Keep scheduled appointments.
• Provide information needed for your care.
• Follow agreed-upon instructions and guidelines of physicians and health care professionals.
• Participate in understanding your health problems and developing mutually agreed upon treatment goals.
• Notify your employer's human resource department of changes in address or family status.