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Patient Rights and Responsibilities

Patients' Rights

  • Be treated with respect and dignity.
  • Receive considerate and respectful care, with full consideration of the member's privacy.
  • Receive complete information about the diagnosis, proposed course of treatment or procedure, alternate courses of treatment or non-treatment, the clinical risks involved in each, and prospects for recovery in terms understandable for the member, to give informed consent or to refuse that course of treatment.
  • Exercise these rights without regard to gender, sexual orientation, or cultural, economic, educational, physical/mental disability, or religious background.
  • Be provided with information about the Dignity Health Medical Network services, physicians, and the health care service delivery process.
  • Be informed of emergent and non-emergent benefit coverage and cost of care, and receive an explanation of the member's financial obligations as appropriate, prior to incurring the expense (including co-payments, deductibles, and co-insurance).
  • Be provided with information on how to obtain care after normal office hours and how to obtain emergency care, including when to directly access emergency care or use 911 services.
  • Examine and receive an explanation of bills generated for services delivered to the member.
  • Be provided with information on how to submit a claim for covered services.
  • Be informed of the name and qualifications of the physician who has primary responsibility for coordinating the member's care; and be informed of the names, qualifications, and specialties of other physicians and non-physicians who are involved in teh member's care.
  • Have 24-hour access to the member's primary care physician (or covering physician).

Patients' Responsibilities

  • Be familiar with the benefits and exclusions of the member's health plan coverage.
  • Provide the member's health care physician with complete and accurate information necessary for the care of the member (to the extent possible).
  • Be on time for all appointments and notify the physician's office as far in advance as possible for appointment cancellation or rescheduling.
  • Report changes in the member's condition according to physician instructions.
  • Inform physicians of the member's inability to understand the information given to him or her.
  • Carry out the treatment plan developed and agreed upon by the health care physician and the member.
  • Contact the member's primary care physician (or covering physician) for any care needed after that physician's normal office hours.
  • Treat the physician and health care staff with respect.