Health Management Program Participant Rights and Responsibilities

Participants of any of our Health Management Programs have the right to:

1. Have information about the organization (including programs and services provided on behalf of the sponsoring organization), its staff and its staff’s qualifications and any contractual relationships.

2. Decline participation or disenroll from programs and services offered by the organization.

3. Know which staff members are responsible for managing Disease Management services for the individual patients and from whom to request a change.

4. Be supported by the organization to make decisions interactively with their practitioners regarding health care.

5. Be informed of all disease management-related treatment options included or mentioned in clinical guidelines, whether covered or not by the sponsoring organization, and to discuss these with the treating practitioners.

6. Have personal identifiable data and medical information kept confidential; know what entities have access to their information; know procedures used by the organization to ensure privacy and confidentiality.

7. Be treated courteously and respectfully by the organization’s staff.

8. Communicate complaints to the organization and receive instructions on how to use the complaint process, including knowing the organization’s standards of timeliness for responding to and resolving issues of quality and complaints.

9. Receive understandable information.

10. Have the organization act as a patient advocate.

Program participants are encouraged to:

1. Follow care advice offered by the organization.

2. Provide the organization with information necessary to carry out its services.

3. Notify the organization and the treating practitioner if the patient decides to disenroll from the program.