Our Members have the following Responsibilities:
- Provide Accurate Information: Share complete and accurate health information with your providers.
- Follow Agreed-Upon Treatment Plans: Participate in your care and follow the treatment plan you and your doctor agree upon.
- Respect Providers and Staff: Treat healthcare staff and other patients with courtesy and respect.
- Understand Your Health Plan: Know your benefits, coverage limits, and responsibilities under your health plan.
- Keep Appointments: Arrive on time and notify your provider if you need to cancel or reschedule.
Our Members have a right to:
- Respectful Care: To receive considerate, respectful, and culturally appropriate care regardless of race, religion, gender, sexual orientation, or ability to pay.
- Information: To be fully informed about your diagnosis, treatment options, and prognosis in terms you can understand.
- Choose Providers: To select a primary care physician and to request a change if desired, within the IPA network.
- Participate in Decisions: To be involved in decisions about your healthcare, including the right to refuse treatment.
- Your Medical Records: To view and request a copy of your medical records from your doctor. Your request must be made in writing. Once received, your doctor has 15 days to provide the records and may charge a fee for the copies.
- Privacy and Confidentiality: To have your medical records and communications kept confidential, with access limited to those involved in your care.
- Emergency Services: To receive emergency care when and where it is needed, without prior authorization.
- File Complaints or Appeals: To voice concerns or file grievances about care or services without fear of retaliation. To file a complaint (grievance), or appeal, please contact your health plan.
- Access Care: To receive timely access to medically necessary services, including referrals to specialists.
HIPAA and Patient Privacy
The federal Health Insurance Portability and Accountability Act (HIPAA) and California law give you rights to:
- Ask to see and get a copy of your health records.
- Have corrections added to your health information.
- Receive a notice that tells you how your health information may be used and shared in the future.
- Decide if you want to give your permission before your health information can be used or shared.
- Get a report on when and why your health information was shared.
- Visit the California Attorney General’s website on Privacy Protections for more information about your rights.
- Also view the California Office of Health Information Integrity website for more information about federal and state health laws.