Medi-Cal - Member Literature:

• Member Handbook
• Member Newsletter
• Rights & Responsibility Statement

RIGHTS AND RESPONSIBLITY STATEMENT

You have a right to:

• Receive information about the Partnership HealthPlan of California (PHC), its services, its practitioners and providers, members' rights and responsibilities and all health care available to you.


• Be treated with respect and recognition of your dignity and right to privacy.


• Be informed about requests for services, including evaluation and referrals.


• Be informed if your medical providers are no longer available to you for any reason, and receive assistance to transition to another provider.


• Understand treatment options and participate with medical providers in decision making regarding your health care.


• Candid discussion of appropriate or medically necessary treatment options for your medical conditions, regardless of cost or benefit coverage in a language that is best for you.


• Voice complaints or appeals about PHC or the medical care you receive.


• Receive preventive health care services.


• Receive family planning services without authorization.


• Receive services from a Federally Qualified Health Center (FQHC).


• Receive a second opinion regarding treatment options.


• Make recommendations regarding the PHC member's rights and responsibilities policy.

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.


• Understand your health problems and participate in developing mutually agreed upon treatment goals to the degree possible.