Member Rights and Responsibilities
As a member of PHC California, you have the right to:
DHCS 030716 PHC Form 1.0
- Be treated with respect, with PHC California giving due consideration to your right to privacy and the need to maintain confidentiality of your medical information
- Be provided with information about PHC California and its services
- Be able to choose a primary care provider (PCP) within PHC California’s provider network
- Participate in decision making regarding your own health care, including the right to refuse treatment
- Voice grievances, either verbally or in writing, about the organization or the care received
- Receive oral interpretation services for your language of choice
- To formulate advance directives
- Have access to family planning services, Federally Qualified Health Centers, Indian Health Service Facilities, sexually transmitted disease services and emergency services outside PHC California’s provider network pursuant to the Federal law
- Request a state Medi-Cal fair hearing, including information on the circumstances under which an expedited fair hearing is possible
- Have access to, and where legally appropriate, receive copies of, amend or correct your Medical Record
- Disenroll upon request
- Access minor consent services
- Receive written member informing materials in alternative formats, including Braille and large size print upon request
- Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation
- Receive information on available treatment options and alternatives, presented in a manner appropriate to your condition and ability to understand
- Freedom to exercise these rights without adversely affecting how you are treated by PHC California, your provider, or the State
- Participate in your health care and the health care of your family. This means taking care of medical problems before they become more serious.
- Keep in touch with and regularly visit your PHC California primary care provider (PCP)
- Cooperate with your PCP, follow his or her instructions regarding your care and take all of your prescribed medications as directed
- Arrive on time for your doctor visits. Call if you will be late or need to cancel or reschedule your appointment.
- Be courteous and cooperative with people who provide you or your family with health care services
- Not let anyone else use your PHC California member identification/pharmacy card or Medi-Cal beneficiary identification card or pretend to be you
- Not participate in Medi-Cal fraud or any inappropriate use of your Medi-Cal coverage through PHC California or the Medi-Cal fee-for-service system
- Be proactive in your health care. Let us know how you like PHC California and how we can improve our services.
DHCS 030716 PHC Form 1.0