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Members Rights and Responsibilities Your Rights Medical Associates Health Plans require that all physicians and providers demonstrate and foster a commitment to treating patients in a manner that respects their rights. You have a right to considerate and respectful care. You have the right to obtain from your doctor, complete and current information concerning your care in terms that you can understand. You have the right to participate in decisions regarding your care. You have the right to receive from your doctor information necessary to give informed consent prior to the start of any procedure. Where medically significant alternatives for care or treatment exist, you have the right to such information. You also have the right to know the name and qualifications of the person responsible for the procedures and/or treatment. You have the right to refuse treatment. You have the right to every consideration of privacy. You have the right to expect that all records pertaining to your care will be treated as confidential. You have the right to voice grievances about the managed care organization or care provided. You have the right to expect, within its capacity, that the participating providers will make reasonable response to the request of the patient for services. You have the right to be advised if the provider proposes to engage in or perform human experimentation involving your care or treatment. You have the right to expect reasonable continuity of care. You have the right to examine and receive an explanation of any denied services under Medical Associates Health Plans, and to request reconsideration of denied claims according to the terms of your contract. Your Responsibilities You are expected to follow the rules and regulations of Medical Associates Health Plans. You are expected to be committed to health maintenance through health enhancing behavior and preventive health services. You are expected to provide accurate and complete details about your past illnesses and present medical illness or condition. You are expected to inform your doctor and/or nurse if there is an unexpected change in your condition or if problems arise in your treatment. You are expected to tell your doctor and/or nurse if you do not understand your treatment or if you do not understand what you are expected to do. You are expected to follow the instructions of the doctors and nurses. You are responsible if you refuse treatment or do not follow instructions. You are expected to keep your appointments and you are expected to tell your doctor, nurse, or receptionist if you cannot keep your appointment. You are responsible for paying your premiums or copays when they are due. If you are unable to pay, it is your responsibility to notify the Health Plans' Finance Department. You are expected to be courteous to the participating providers, staff and other patients. You are responsible for reviewing your Subscriber Agreement and under- standing the coverage and exclusions under that agreement and to contact the Health Plans with any questions.