Patients have rights and associated responsibilities in the course of their health care service delivery. All contracted health plans have formal statements of patient rights and responsibilities.
The following represents some of the rights a patient has:
- Be treated with dignity and respect.
- Exercise these rights without regard to gender, sexual orientation or cultural, economic, educational, or religious background.
- Be provided with information about High Desert Medical Group, its services, and the health care service delivery process.
- Be informed of non-emergent cost of care and receive an explanation of the patient’s financial obligations as appropriate, prior to incurring the expense (including copayments, deductibles, and coinsurance)
- Examine and receive an explanation of bills generated for services delivered to the patient and payable by patient (e.g. non-covered services).
- Have 24-hour access to the patient’s primary care physician (or covering physician).
- 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 that are understandable to the patient, in order to give informed consent or to refuse that course of treatment.
- Actively participate in decisions regarding the patient’s health care and treatment plan, regardless of cost or benefit coverage. To the extent permitted by law, this includes the right to refuse any procedure or treatment. If the recommended procedure or treatment is refused, and explanation will be given addressing the effect that this will have on the patient’s health.
- Receive reasonable continuity of care and be given timely and sensible responses to questions and requests made for service.
- Voice complaints or appeals about High Desert Medical Group or the care it provides.
- Make recommendations regarding High Desert Medical Group patients’ rights and responsibilities policies.
The following represents some of the responsibilities a patient has:
- Be familiar with the benefits and exclusions of the patient’s health plan coverage.
- Provide the patient’s health care provider with complete and accurate information, which is necessary for the care of the patient (to the extent possible).
- Be on time for all appointments and notify the provider’s office as far in advance as possible for appointment cancellation and rescheduling.
- Report changes in the patient’s condition according to provider instructions.
- Inform providers of the patient’s inability to understand information given to him/her.
- Treat the health care providers and staff with respect and dignity.
- Contact the patient’s primary care physician (or covering physician) for any care, which is needed after that physician’s normal office hours.
- Obtain an authorized referral from the patient’s primary care physician for a visit to a specialist and/or to receive any specialty care.
- Follow the treatment plan, which has been developed and agreed upon by the health care provider and patient, and understand the health problems and participate in developing mutually agreed upon treatment goals to the degree possible.
- Be familiar and comply with HIGH DESERT MEDICAL GROUP’s health care service delivery system regarding questions and assistance.
- Respect the rights, property, and environment of all physicians and High Desert Medical Group provider, staff, and other patients.
- Pay required co-payment or co-insurance amounts.