Patient Rights & Responsibilities

As a participant in the HealthChoice Care Management program, members have the right:

  • To be treated with respect, dignity, consideration, and compassion.
  • To be informed about services and options available to them.
  • To receive care management services free of discrimination on the basis of race, color, sex/gender, ethnicity, national origin, religion, age, class, sexual orientation, physical or mental ability.
  • To reach an agreement with their care management about the frequency of contact they have either in person or over the phone.
  • To have input into the care management plan.
  • To refuse treatment or services, including care management services and the implications of such refusal relating to benefits eligibility and/or health outcomes.
  • To use end of life and advance care directives.
  • To receive notification and a rationale when care management services are changed or terminated.
  • To withdraw their voluntary consent to participate in care management.
  • To have their medical records and care management records be treated confidentially.
  • To file a complaint regarding the HealthChoice Care Management program by contacting customer service.

Members have the responsibility:

  • To accurately and completely disclose relevant information and notify HealthChoice Care Management of any changes.
  • To become involved in individually specific health care decisions.
  • To work collaboratively with HealthChoice Care Management in developing goals and implementing interventions to manage their condition.
  • To work collaboratively with health care providers in developing and carrying out agreed-upon treatment plans.
  • To make a good-faith effort to maximize healthy habits, such as exercising, not smoking and eating a healthy diet.
  • To abide by the administrative and operational procedures of the HealthChoice Care Management program.
  • To participate as much as they are able in creating a plan for care management.
  • To let their care coordinator know any concerns they have about their care management plan or changes in their needs.
  • To make and keep appointments to the best of their ability, or if possible to phone to cancel or change an appointment time.
  • To stay in communication with their care coordinator by informing him/her of changes in address or phone number and responding to the care coordinator’s calls or letters to the best of their ability.