Members' Rights and Responsibilities
You have the right to:
- Be treated with respect by Arta Western Medical Group staff and its health care service providers.
- Have your medical information kept confidential.
- Receive information about CalOptima and Arta Western Medical Group and the services they provide.
- Choose a primary care physician (PCP) within Arta Western Medical Group's network.
- Help make decisions about your health care, including the right to say "no" to medical treatment.
- File a grievance, either verbally or in writing, about CalOptima, Arta Western Medical Group, or the care you received.
- Receive oral interpretation services in the language that you understand.
- Make an advance directive.
- Access family planning services, Federally Qualified Health Centers, Indian Health Service Facilities, sexually-transmitted disease services and emergency services outside CalOptima's and / or Arta Western Medical Group's network.
- Ask for a state hearing, including information on the conditions under which your state hearing can be expedited.
- Have access to your medical record, and where legally appropriate, receive copies of, update or correct your medical record.
- Access minor consent services.
- Receive written member information in large-size print and other formats upon request and in a timely manner appropriate for the format being requested.
- Be free from any form of control or limitation used as a means of pressure, punishment, convenience, or revenge.
- Receive information about your medical condition and treatment plan options in a way that is easy to understand.
- Freely use these rights without negatively affecting how you are treated by Arta Western Medical Group or its providers.
You are responsible for:
- Knowing, understanding, and following your member handbook.
- Following the treatment plan your PCP gives you.
- Telling your PCP about your medical condition.
- Making and keeping medical appointments and telling the office when you must cancel your appointment.
- Learning about your medical condition and what keeps you healthy.
- Taking part in health care programs that keep you healthy.
- Working with and being polite to the people who are partners in your health care.