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Rights and Responsibilities

Florida Law Says You Have Rights When You Get Medical Care.

You also must respect your providers’ rights.

You may ask for a copy of the full text of this law from your providers. A summary of your rights and responsibilities is as follows:

Your Child Has the Right to Timely, Appropriate Care:

  • A patient has the right to be treated with courtesy and respect, with appreciation of his individual dignity, and protection of his/her need for privacy.
  • A patient has the right to a prompt and reasonable response to questions and requests.
  • A patient has the right to know who is providing medical services and who is responsible for his/her care.
  • Enrollees have the right to be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation.
  • A patient has the right to know what patient support services are available, including whether an interpreter is available if he/she does not speak English.
  • A patient has the right to know what rules and regulations apply to his/her conduct.
  • A patient has the right to be given, by his/her health care provider, information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis. The Plan cannot keep the health care provider from giving this information to the patient.
  • A patient has the right to refuse any treatment, except as otherwise provided by law.
  • A patient has the right to not be responsible for the Plan’s debts in the event of bankruptcy.
  • A patient cannot be held liable for covered services provided to the patient for which the Plan does not pay the provider that furnished the services. The provider cannot hold a patient responsible for any unpaid amounts due to the provider other than a co-payment.

Your Child Has the Right to Timely Problem Resolution and to:

  • Make complaints and appeals without discrimination and expect problems to be fairly examined and appropriately addressed
  • Responsiveness to reasonable requests made for services

Confidentiality is Your Right and You Have the Right to:

  • Review and comment about your child’s personal health information and review medical records and/or changes to your child’s personally identifiable health information
  • Protection against unauthorized disclosure of his or her personal health information
  • Approve the release of any information beyond Staywell Kids
  • Have information used for research or performance measurement limited in that all data will be combined
  • Authorize the use of his/her individually identifiable health information for any purpose including:
    • The collection, use and sharing of data, unless the release of the information is required by law
    • General consent is given when you submit the enrollment application for your child
    • This authorizes the use of identifiable information that is needed for treatment, coordination of care, conducting quality assessment, utilization review, fraud detection and specific and known oversight reviews (such as state or accreditation organizations)
    • This consent covers future, known or routine needs for the use of his or her health information
    • Other consents, or special consents, will be obtained if specific member-identifiable information is requested and is to be shared with another organization or agency

You Have the Responsibility to:

  • A patient is responsible for keeping appointments and, when he/she is unable to do so, for notifying the health care provider or the health care facility.
  • A patient is responsible for providing to his/her health care provider, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to health.
  • A patient is responsible for reporting unexpected changes in his/her condition to his/her health care provider.
  • A patient is responsible for following the treatment plan recommended by his/her health care provider.
  • A patient is responsible for reporting to his/her health provider whether he/she understands a course of treatment and what is expected of him/her.
  • A patient is responsible for his/her actions if he/she refuses treatment or does not follow the health care provider’s instructions.
  • A patient is responsible for ensuring that co-pays are paid as promptly as possible.
  • A patient is responsible for following health care facility rules and regulations affecting patient care and conduct.
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Last Updated On: 1/8/2016
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