- You have the right to considerate and courteous care, with respect for personal privacy and dignity.
- You have the right to select your own personal primary care physician (PCP) from the list of contracting PCPs of Premier Blue. However, if your first selection is not satisfactory, you have the right to choose a different PCP.
- You have the right to expect your PCP’s health care team to provide or arrange for all medically necessary care, except for care not requiring PCP authorization.
- You have the right to participate in the health care process with the professionals who can help you take charge of your health
- You have the right to receive enough information to enable you to make a thoughtful decision before you receive any recommended treatment.
- You have the right to refuse to participate in experimental research.
- You have the right to be informed of your diagnosis and treatment plan in terms that you understand and to participate in decisions involving your medical care.
- You have the right to reasonable access to appropriate medical services.
- You have the right to a candid discussion of appropriate or medically necessary treatment options for your condition, regardless of cost or benefit coverage.
- You have the right to receive the benefits of your Premier Blue membership and to be informed of available services, as well as where, when and how you can obtain these services.
- You have the right to receive assistance when language barriers exist between you or a member of your family and a provider of approved services.
- You have the right for your medical records to be kept confidential except when disclosure is required by law or by Premier Blue. With adequate notice, you have the right to review your medical record with your PCP.
- You have the right to express
a complaint and to receive an
answer to the complaint within a
reasonable period of time.
|
- You have the responsibility to treat all Premier Blue personnel respectfully and courteously as partners in good health care.
- You have the responsibility to select a PCP and to communicate openly with that PCP. You have the responsibility to develop a physician-patient relationship based on trust and cooperation. You are expected to coordinate all your care with your PCP. This continuity strengthens the positive relationship between you and your physician and enables your PCP to develop a better understanding of your needs.
- You have the responsibility to seek and obtain referrals, from your PCP, for services received only from Premier Blue contracting professionals. Exceptions apply only to medical emergencies or the initial treatment of an out-of-area accidental injury or illness.
- You have the primary responsibility to maintain your health and prevent illness. By using the information Premier Blue provides, and by making positive health choices and seeking appropriate care when it is needed, you will be taking charge of your health.
- You have the responsibility to ask questions and make certain that you understand the explanations and instructions you are given.
- You have the responsibility to advise your PCP and/or Premier Blue when any experimental treatment is being recommended against your wishes.
- You have the responsibility to consider the potential consequences if you refuse to comply with treatment plans or recommendations.
- You have the responsibility to keep scheduled appointments or to give adequate notice of delay or cancellations and to notify Premier Blue if you are unable to access appropriate medical services.
- You have the responsibility to read all Premier Blue materials carefully and immediately upon your enrollment and to ask questions when necessary. You have the responsibility to follow the rules of your Premier Blue membership.
- You have the responsibility to advise your PCP and/or Premier Blue when you require assistance, to allow for adequate communication between you or your family member and a provider. Premier Blue will assist in making the appropriate arrangements.
- You have the responsibility to help maintain accurate and current medical records by being honest and complete when providing information to your health professionals.
- You have the responsibility to express your opinions, concerns or complaints in a constructive manner to the appropriate people at Premier Blue.
|
