Patient Rights and Responsibilities
All Patients have the right to:
- Informed consent in treatment decisions, timely access to specialty care, and confidentiality protections.
- Concise and easily understood information about their coverage.
- Know how coverage payment decisions are made and how they can be fairly and openly appealed.
- Complete and easily understood information about the costs of their coverage and care.
- A reasonable choice of providers and useful information about provider options.
- Know what provider incentives or restrictions might influence practice patterns.
- Expect care based on medical necessity and appropriateness.
- Expect courteous care from providers at all times.
- Refuse medical treatment or care.
All Patients, to the extent capable, have the responsibility to:
- Pursue healthy lifestyles.
- Become knowledgeable about their health plans.
- Actively participate in decisions about their health care.
- Cooperate fully on mutually accepted courses of treatment.
Submit a grievance or appeal by contacting HealthSmart.