To be treated with respect and dignity, giving
due consideration to your right to privacy and the need to maintain
confidentiality of your medical information.
To be provided with information about the plan
and its services, including covered services, practitioners, and member rights
and responsibilities.
To receive fully translated written member
information in your preferred language, including all grievance and appeals
notices.
To make recommendations about Partnership’s member rights and responsibilities policy.
To be able to choose a primary care provider
within Partnership’s network.
To have timely access to network providers.
To participate in decision making with providers
regarding your own health care, including the right to refuse treatment.
To voice grievances, either verbally or in
writing, about the organization or the care you received.
To ask for an expedited grievance in instances
that would put your life, health, or ability to function fully in danger.
To get help from patient advocate, provider,
ombudsperson or any other person you choose.
To know the medical reason for Partnership’s decision to deny,
delay, terminate, or change a request for medical care.
To get care coordination.
To ask for an appeal within 60 days from when
Partnership or someone acting on Partnership’s behalf notifies you of a decision to deny,
delay, or modify a requested service.
To get no-cost interpreting services for your
language.
To get free legal help at your local legal aid
office or other groups.
To formulate advance directives.
To ask for a State Hearing if a service or
benefit is denied and you have already filed an appeal with Partnership and are still not happy with the decision, or if you
did not get a decision on your appeal after 30 days, including
information on the circumstances under which an expedited hearing is possible.
To access minor consent services.
To get no-cost written member information in other
formats (such as braille, large-size print, audio and accessible electronic
formats) upon request and in a timely fashion appropriate for the format being
requested and in accordance with Welfare & Institutions Code Section 14182
(b)(12).
To be free from any form of restraint or
seclusion used as a means of coercion, discipline, convenience or retaliation.
To truthfully discuss information on available
treatment options and alternatives, presented in a manner appropriate to your
condition and ability to understand, regardless of cost or coverage.
To have access to and get a copy of your medical
records, and request that they be amended or corrected, as specified in 45 Code
of Federal Regulations §164.524 and 164.526.
Freedom to exercise these rights without
adversely affecting how you are treated by Partnership, your providers or the State.
To
have access to family planning services, Freestanding Birth Centers, Federally
Qualified Health Centers, Indian Health Clinics, midwifery services, Rural
Health Centers, sexually transmitted infection services and emergency services
outside Partnership’s network pursuant to the federal law.
