Member Rights and Responsibilities

To receive information about Prospect Medical, its services, its providers, and members’ rights and responsibilities
To be treated with respect and dignity and right to privacy
To make recommendations regarding the organization’s members’ rights and responsibilities policies
To participate with practitioners in decision-making regarding their healthcare
To have a candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit
To voice complaints or file appeals regarding Prospect Medical or the care provided
To be represented by parents, guardians, family members or other conservators for those who are unable to fully participate in their treatment decisions
To have their medical information kept confidential
To receive oral interpretation services in an understandable language (Medicaid and/or Medicare members)
To receive written member information in large-size print and other formats upon request and in a timely manner appropriate for the format being requested (Medicaid and/or Medicare members)

To understand their health problems and participate in developing mutually agreed-upon treatment goals to the degree possible
To follow plans and instructions for care that they have agreed on with their practitioners
To supply all pertinent information about their health (to the extent possible)
To learn about their medical condition and what keeps them healthy
To make and keep medical appointments. If a member must cancel and/or reschedule an appointment, be certain to tell someone in the office
To work with and be polite and respectful to those who are partners in their healthcare