Member’s Rights & Responsibilities
SHP Members have the right to:
* be treated with courtesy and respect, and with due consideration of his/her dignity and privacy.
* receive information on available treatment options and alternatives, presented in a manner appropriate to the enrollee’s condition and ability to understand.
* participate in decisions regarding his or her health care, including the right to refuse
treatment.
* be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation.
* request and receive a copy of his or her medical records, and request that they be amended or corrected.
* be furnished health care services in accordance with federal and state regulations.
The State must ensure that each enrollee is free to exercise his or her rights, and that the exercise of those rights does not adversely affect the way the health plan and its providers or the State agency treat the enrollee.
They also have the right to
* Receive a prompt and reasonable response to questions and requests
* Know who is providing medical services and who is responsible for his/her care
* Know what member support services are available, including whether an interpreter is available if he/she does not speak English
* Know what rules and regulations apply to his/her conduct
* Be given, upon request, full information and necessary counseling on the availability of known financial resources for his/her care
* Receive, upon request, prior to treatment, a reasonable estimate of charges for medical care and receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have the charges explained for services not covered by SHP
* Impartial access to medical treatment or accommodations, regardless of race, national origin, religion, handicap, or source of payment
* Treatment for any emergency medical condition that will deteriorate from failure to provide
treatment
* Be advised if medical treatment is for purposes of experimental research and be able to give his/her consent or refusal to participate in such experimental research
* Express grievances regarding any violation of his/her rights, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served him/her and to the appropriate state licensing agency
SHP Members are responsible for:
* Providing to the health care provider, to the best of their knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to their health
* Reporting unexpected changes in their condition to the health care provider
* Reporting to the health care provider whether they comprehend a contemplated course of action and what is expected of them
* Following the treatment plan recommended by the health care provider
* Keeping appointments and, when they are unable to do so for any reason, for notifying the health care provider or health care facility
* Their actions if they refuse treatment or do not follow the health care provider’s instructions
* Assuring that the financial obligations of their health care are fulfilled as promptly as possible
* Following health care facility rules and regulations affecting patient care and conduct
