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Rights and Responsibilities

Your Member Rights

  • To get information about Peach Care for Kids, its services, its contracted doctors and providers, and members’ rights and responsibilities
  • To know the names and titles of doctors and other health care people involved in your care.
  • To be treated with respect and dignity and to have the right to privacy
  • To take part with providers in making decisions about your health care.
  • To talk openly about care you need for your health, regardless of cost or benefit coverage, as well as choices and risks involved. The information must be given in a way you understand.
  • To know about your health care needs after you are released from a hospital or office.
  • To refuse medical or surgical care, as long as you agree to be responsible for your decision.
  • To refuse to take part in any medical research projects.
  • To complain about Peach Care for Kids or the care it provides and to know that if you do it will not affect how you are treated.
  • To not be responsible for Peach Care for Kids’ debts in the event of insolvency or failure to pay.
  • Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation
  • To access your medical records and to have your records kept private and confidential.
  • To make your health care wishes known through Advance Directives.
  • To have input into Peach Care for Kids’ member rights and responsibilities policies.
  • To appeal adverse medical or administrative decisions using Peach Care for Kids’ grievance process and the State.
  • To exercise these rights no matter what your sex, age, race, ethnic, economic, educational or religious background.
  • To have all Peach Care for Kids’ staff observe your rights.
  • To have all the above rights apply to the person legally able to make decisions about your health care.

Your Member Responsibilites

  • To give information that Peach Care for Kids and its contracted doctors and providers need to provide care.
  • To follow plans and instructions for care that you have agreed on with your doctor.
  • To understand your health problems and share in developing treatment goals that you and your doctor agree to.
  • To understand how Peach Care for Kids works by reading the Member Handbook.
  • To carry your member card and Medicaid card with you at all times. Show your ID cards to each provider (i.e., doctor, lab, hospital, pharmacy, etc) when services are being given.
  • To schedule appointments for all non-emergency care through your assigned doctor, to get a referral from your doctor for specialty care, and to cooperate with all persons providing your care and treatment.
  • To be on time for appointments.
  • To notify the doctor’s office if you need to cancel or reschedule an appointment.
  • To respect the rights, property and environment of all providers, employees, other patients and not be disruptive.
  • To understand the medicines you take; know what they are, what they are for and how to take them properly.
  • To make sure your current doctor has been given copies of all previous medical records.
  • To notify Peach Care for Kids within 48 hours, or as soon a possible, if you are hospitalized or receive emergency room care.
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Last Updated On: 3/16/2017