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Rights & Responsibilities
Our Goal: It is our goal at ForeSee Health to provide you with
help on managing your health. In order to reach this goal, we
need your assistance. Outlined here are your rights and
responsibilities as a ForeSee Health Participant. We pledge high
quality assistance and to respect your rights, dignity, and
preferences as an individual. In turn we ask that you serve as
an active member of our team by fulfilling your responsibilities
as an informed patient.
You are
entitled...
- To choose not to participate
in the program at any time by calling ForeSee Health at
(314) 214-8409 or 1-877-436-7373 between the hours of 8:30
a.m. and 5:00 p.m. (central time) Monday through Friday
(except Holidays).
- To contact the Disease
Management Program for all urgent and non-urgent situations
by calling at (314) 214-8409 or 1-877-436-7373 24 hours a
day/ seven (7) days a week.
- To know about the philosophy
and characteristics of ForeSee Health’s Disease Management
Program
- To confidentiality. All
information concerning participation in ForeSee Health’s
Disease Management Program and medical history are
confidential except when disclosure is required by law or
permitted in writing, and patients are entitled to access
their medical records according to state and federal law;
and with adequate notice, you have the right to review your
medical records with your physician.
- To be treated with respect
and dignity by the Disease Management Program staff, and to
know the name of the assigned Care Manager. To receive
advice or assistance in a prompt, courteous, and responsible
manner.
- To receive administrative
information regarding changes or termination of the Disease
Management Program.
- To be informed of all the
Disease Management Program treatment options included in
ForeSee Health’s clinical guidelines and are able to discuss
them with physicians. To participate with practitioners in
decision-making regarding your health care.
- To obtain the name of the
manager who is responsible for overseeing the Disease
Management Program in which the patient participates so that
you can request more information, lodge a complaint; ask for
clarification or request in either the program or
participation in the program.
- To voice concerns or
complaints about ForeSee Health’s Disease Management
Program, to receive instructions on how to use the complaint
process and the standards of timeliness for responding to
and resolving issues of quality of care and complaints.
- To privacy and
non-discrimination.
- To be informed of the
eligibility criteria for ForeSee Health’s Disease Management
Program.
- To be informed of the
potential health benefits of participating in ForeSee
Health’s Disease Management Program.
- To be informed of any
restrictions, limitation, or incentives.
You have the responsibility:
- To notify ForeSee Health and your physician
about a decision not to participate.
- To follow the directions of your physician
and the general care and educational guidelines offered by
ForeSee Health as part of Disease Management efforts.
- To provide, to the fullest extent possible,
complete, accurate and timely information to your physician in
order to facilitate treatment and support the care delivery
process.
- To give accurate clinical and contact
information to ForeSee Health, and to notify ForeSee Health when
there are any changes in this information.
- To submit any forms that are necessary to
participate in the program, to the extent required by the law.
- The responsibility to notify your treating
physician of your participation in the Disease Management
Program.
- To treat all ForeSee Health employees and
provider network personnel, as well as other members, with
respect and courtesy.
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