Rights and Responsibilities

Below are 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 responsibility 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.