Member Rights and Responsibilities
Prospect Medical recognizes the following rights for its members:
- 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)
Prospect Medical members must accept the following responsibilities:
- 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