| As a patient (or parent or legal guardian of a child under the age of 18), you have a right to expect the following from your physician or provider: |
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- To participate in decisions concerning your healthcare.
- To refuse treatment to the extent permitted by law and to be informed of the medical consequences of that action.
- To obtain from your physician or other health care provider complete and current information concerning a diagnosis, treatment, or prognosis. When it is not advisable to give such information to your child, the information shall be made available to an appropriate person on your child’s behalf (such as a parent or legal guardian for a child under the age of 18).
- To know the name(s) and qualifications of all your caregivers. Information can be obtained from the provider or the administrator of any healthcare facility.
- To review the office’s HIPPA privacy policy.
- If you have any questions regarding your care or services received, you have the right to contact the office administrator at (716) 661-9730.
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| As a patient (or parent or legal guardian of a child under the age of 18), you are responsible for the following: |
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- To establish your child as a patient of the primary doctor you have selected by making an appointment with the doctor as soon as possible.
- Follow the instructions and guidance of healthcare providers.
- Provide honest and accurate information concerning your child’s health history and status.
- Participate in understanding your child’s health problems and developing mutually agreed upon treatment goals.
- Follow carefully your health plan’s policies and procedures as described in your member handbook and your contract(s) and rider(s).
- Be sure your primary doctor is informed of any other health care your child receives in order to receive the highest level of benefits.
- Carry your member ID card with you and present it when seeking health services.
- Advise your health plan of any changes which affect you or your family such as birth, change of address, or marriage.
- Notify your health plan when anyone in your coverage becomes eligible for any other health insurance.
- Pay appropriate co-payments or coinsurance to providers when services or supplies are received.
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