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Members/Insured Rights and Responsibilities

ASH members/insured have a right to:

  1. Receive considerate and respectful care.
  2. Receive information about their illness in understandable terms so that they may give informed consent. (Except in emergencies, this information should include the proposed course of treatment, alternative, possibilities of non-treatment, prospects for recovery, and clinical risks involved.)
  3. Use the information they have received to participate--to the extent permitted by law--in decisions regarding care, including the right to refuse treatment.
  4. Be given full consideration of privacy, including case discussion, consultation, examination, and treatment, all of which are confidential and should be conducted discreetly--with their consent--to the presence of any third parties.
  5. Reasonable continuity of care and advance notification of the appointment time and location, as well as the identity of the person(s) providing care.
  6. Be advised of and refuse treatment if their health care provider engages in experimental studies/procedures affecting their care or treatment.
  7. Be informed of continuing health care requirements following discharge from treatment.
  8. Receive medically necessary and appropriate care and services, as defined in their member/insured benefit plan.
  9. File complaints and grievances when dissatisfied with the treatment or service they have received.
  10. Request and receive any available information about health education, promotion, and prevention services; community services that may help to assist with their health problems; and the appropriate use of treatments, regardless of their relationship to member/insured’s health care benefits.
  11. Examine and receive an explanation regarding any charges billed to them.
  12. Have these rights apply to the person who has legal responsibility for making decisions regarding their medical care.
  13. Exercise these rights without regard to gender; ethnic, cultural, economic, educational, or religious background; or the source of payment for care.
  14. Receive information about ASH, its services, its practitioners and providers, and the rights and responsibilities of members/insured.
  15. Make recommendations regarding the rights of ASH’s members/insured and responsibilities policies.
     

ASH members/insured must take the responsibility to:

  1. Give their health care provider and/or health plan the information necessary to provide them with the best possible care.
  2. Follow the treatment plan and instructions for care upon which they and their health care provider have agreed.
  3. Promptly pay copayment or co-insurance.

Printable version of the Members/Insured Rights and Responsibilities [PDF]

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