Member Rights and Responsibilities

Member Rights.

Unless medically contraindicated, you are assured of the rights that follow:

To reasonable response to your requests and needs for treatment or service within the scope of FHCP's capacity, mission, and applicable laws and regulations;
To be informed about, consent to, or refuse recommended treatment;
To present grievances, without compromise to future health care, if you feel these rights have not been provided;
To be treated with dignity and consideration as an individual, with personal value and belief systems, with compassion and respect, and with reasonable protection from harm, and with appropriate privacy;
To receive quality health care with respect and dignity regardless of race, age, sex, religious beliefs, source of payment, health status, or need for health services;
To be informed about your diagnoses, testings, treatments, and prognoses. When concern for your health makes it inadvisable to give such information to you, such information will be made available to an individual designated by you or to a legally authorized individual;
To be assured of confidential treatment of disclosures and records, and to be afforded an opportunity to approve or refuse the release of such information, except when release is required by law;
To refuse treatment to the extent permitted by law and be informed of the consequences of your refusal. When refusal of treatment by the member or his/her legally authorized representative prevents the provision of appropriate care in accordance with ethical and professional standards, the relationship with the member may be terminated upon reasonable notice;
To participate in decisions involving your health care, including ethical issues and cultural and spiritual beliefs, unless concerns for your health contraindicates;
To refuse to participate in experimental research;
To know the name of the physician coordinating your care and to request a change, in writing, of your primary care provider. To make decisions concerning such medical care, including the right to accept or refuse medical treatment or surgical treatment and the right to formulate advance directives (i.e. "Living Wills", etc.) In accordance with the Federal Law titled "Patient Self Determination Act" and the Florida Statute Chapter 765 "Health Care Advance Directives". These rights shall also include the right to appoint either by Power of Attorney or by designation of a Health Care Surrogate to make health care decisions for you and to provide informed consent if you are incapable of doing so.

Member Responsibilities

Complying with the following list of Member responsibilities is most important to assure you of the highest quality of care at the most reasonable cost. The list also indicates the importance of your contribution in the outcome of your care.

To provide accurate and complete information about present complaints, past illnesses, medications, and unexpected changes in your condition
To understand and follow recommended treatment plan(s);
To keep appointments reliably and promptly notify Florida Health Care when unable to do so;
To follow safety rules and posted signs;
To be considerate and respectful of all medical personnel and other members;
To understand that you are responsible for your actions and the possible consequences, if you refuse treatment or do not follow physician's instructions;
To get health care through Florida Health Care Plans, except for emergency care;
To know your medicines and take them according to instructions;
To report emergency treatment to Florida Health Care Plans Business Office as soon as possible;
To present your Florida Health Care identification card each time you go to pick up a prescription; and
To use emergency room facilities only for medical emergencies and serious accidents.