Medi-Cal - Member Literature:

• Member Handbook
• Member Newsletter
• Rights & Responsibility Statement

RIGHTS AND RESPONSIBLITY STATEMENT

You have a right to:

• Be treated with respect, giving due consideration to your right to privacy and the need to maintain confidentiality of your medical information.


• Be provided with information about PHC and its services, including covered services.


• Be able to choose a Primary Care Provider within the PHC's network.


• Participate in decision making regarding your own health care, including the right to refuse treatment.


• Voice grievances, either verbally or in writing, about PHC or the care received.


• Receive oral language interpretation services.


• Formulate advance directives.


• Have access to family planning services, Federally Qualified Health Centers, Indian Health Service Facilities for Native American Indians, sexually transmitted disease services and emergency services outside PHC's network.


• Request a State Medi-Cal hearing, including information on the circumstances under which an expedited hearing is possible.


• Have access to, and where legally appropriate, receive copies of, amend or correct their Medical Record.


• Access Minor Consent Services.


• Receive written materials informing Members in an alternative format (including Braille, large size print, or audio format) upon request and in a timely fashion appropriate for the format being requested for members that are hearing or visually impaired.


• Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation.


• Receive information on available treatment options and alternatives, presented in a manner appropriate to your condition and ability to understand.


• Freedom to exercise these rights without adversely affecting how you are treated by PHC providers or the State.


• Access to a women's health specialist within the network for covered care necessary to provide women's routine and preventive health care services.


• If you are unable to obtain certified nurse mid-wife or certified nurse practitioner services within PHC's network, you have the right to obtain out of plan certified nurse mid-wife or certified nurse practitioner services. Please contact PHC for assistance with receiving these services.

You have a responsibility to:

• Provide, to the extent possible, information that PHC and its medical providers need in order to care for you.


• Follow instructions for care that you have agreed to with your medical provider.


• Tell your medical provider about your medical condition and any medications you are taking.


• Talk to your medical provider about things you can do to improve your overall health.


• Be on time to medical appointments.


• Call your medical provider's office in 24 hours in advance, or as soon as possible, when an appointment must be cancelled.


• Call your medical provider for an appointment when you need medical care.


• Call your medical provider for an appointment for routine check-ups.


• Only use the emergency room for true emergencies.


• Be cooperative and courteous to your medical providers and their staff.