We expect our Network providers, including individual practitioners, to support and act in accordance with these rights. Members have the right to receive accurate, easily understood information about PHCS, the services we provide, the providers in our Network, the rights of members and PHCS Network providers, and how to contact us regarding concerns about PHCS services or Networks. Members have the right to be treated with respect and recognition of their dignity and right to privacy. This right includes protecting the confidentiality of medical and other personal information. It also includes members' rights to review their medical and personal information on file at PHCS, as required by applicable state and federal law.
Members have the right to participate with providers in making decisions about their health care.
This includes the right to have candid discussions of appropriate or medically necessary treatment options for their health conditions, without regard to cost or benefit coverage. Members have the right to register complaints or appeals about PHCS, our services, determinations, or the care provided by a PHCS Network provider. This includes the right to have complaints or appeals addressed in a timely manner through formal procedures appropriate to the nature of the complaint or appeal. Members have the right to timely and appropriate decision-making regarding the delivery of health care services, consistent with the terms of their health benefit plans and applicable state and federal law. Members have the right to a choice of health care providers from the PHCS Networks, consistent with the terms of their health benefit plans and applicable state and federal law.