
Patient Rights and Responsibilities
We are committed to providing you and your whole family with the best medical care, which we believe can best be achieved with a good doctor - patent relationship. This can best be achieved with full understanding; so we would like you to know our policy concerning your rights, responsibilities and our efforts to serve you.
It is our policy that our Patients \ Health Plan members have the:
- Right to be treated with respect and recognition of their dignity.
- Right to privacy.
- Right to participate with practitioners in decision-making regarding their health care.
- Right to candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage.
- Right to voice complaints or make appeals about EFPMG\EMG or the care provided.
- Right to make recommendations regarding EFPMG\EMG members’ rights and responsibilities policies.
- Responsibility to pay for services at the time they are provided, pursuant to insurance provisions for deductibles, and or co-pay arrangements. {Remember our relationship is with you, not your insurance policy and unless your policy is one our contracted HMOs \ PPOs we have no knowledge of policy provisions and will therefore look to you for full payment at time of service or to make arrangements for same before service is rendered.}
- Responsibility to follow the plans and instructions for care that they have agreed on with their practitioners. {If you need to see a specialist or require hospitalization, your Primary Care Physician will arrange this for you. Your failure to follow treatment plans with our contracted specialists and hospitals could result in your not being covered properly by your insurance benefit and therefore incurring financial responsibilities that would not be favorable to you.}
- Patients have a responsibility to understand their health problems and participate in developing mutually agreed upon treatment goals to the degree possible.
- Patients have the right to be represented by parents, guardians, family members or other conservators for those who are unable to fully participate in their treatment decisions.
- Right to have services provided in a culturally competent and non-discriminatory manner to all members, including those with limited English proficiency or reading skills, the sensory impaired, and those with diverse cultural or ethnic backgrounds. {If you require assistance please ask at the front desk.}
- Our services are not influenced by a patient’s race, ethnicity, national origin, religion, sex, age, mental or physical disability, sexual orientation, genetic information, or source of payment.
- Any patient who wishes to pursue a complaint or grievance related to the provision of medical services can ask to speak with our Administrator, J. Dailey @ 619-660-5719 or can call their health plan directly by calling the 800 number on the back of their health plan card and request to speak with the Customer Service Department.
- We do not have a toll free 800 number, however all Physician offices will accept collect calls from any caller.