Your Rights and Responsibilities 

Our Commitment to You

Maricopa Health Plan's goal is to provide high-quality medical care and advanced medical treatment.  We also promise to listen, treat you with respect, and understand your individual needs. Members have rights and responsibilities.  The following is a description of your rights and responsibilities.

 

Member Rights

1.  You will receive care that meets your needs in a way that doesn't judge race, religious beliefs, values,  language, how much a person is able to do, age, handicap, or ability to pay.

 

2.  You will be treated with respect and dignity.  We understand your need for privacy and

confidentiality.

 

3.  You will be treated in a safe, supportive and smoke-free environment.

 

4.  You have the right to information about Maricopa Health Plan's services, health care providers,

admission, transfer, discharge, billing policies, and member rights and responsibilities.

 

5.  You have the right to choose your primary care physician within the limits of the Maricopa Health Plan network.

 

6.  The law states that you have the right to read or get copies of your medical records.  You also have the right to healp in decision making about your health care and advance directives (decisions made in advance).

 

7.  You have the right to complain about Maricopa Health Plan and care provided.

 

8.  Your wishes are important.  You have the right to the information needed to help you make informed decisions.  Here is a list of some but not all of your rights.

   a.  You can accept or refuse any treatment.  You will be informed of any consequences of refusing

         treatment.

   b.  You can make Advanced Directives and appoint someone to make healthcare decisions for

         you.  You or this person can change your Advanced Directives at any time.

   c.  Your or someone who represents you can take part in resolving problems about your care

        decisions.

 

9.  You have the right to the following:

10. You have the right to know of providers who speak a language other than English.

 

11. You have the right to have a list of available PCP's.

 

Member Responsibilities

1.  It is your responsibility to provide, to the best of your knowledge, information to help our Maricopa Health Plan staff care for you.

 

2.  It is your responsibility to follow instructions and guidelines given by those providing health care.

 

3.  It is your responsibility to know the name of your assigned primary care physician (PCP).

 

4.  It is your and your family members' responsibility to be considerate of the rights and property of patients and staff.  This includes smoking and visitation policies.

 

5.  It is your responsibility to pay your co-payments for care received as soon as possible.  Copayments for services is not mandatory.  Services may not be denied.

 

6.  It is your responsibility to schedule appointments during medical office hours whenever possible before using urgent care.

 

7.  It is your responsibility to arrive on time and to let the medical office know in advance when you can't keep an appointment.

 

8.  It is your responsibility to bring immunization records to every appointment for children 18 years old and younger.

 

9.  Maricopa Health Plan provides care in Maricopa County only.  If you are planning on moving out of the county, it is very important that you do the following: