Member Rights and Responsibilities
As a member of PerformCare, you have rights and responsibilities. They are listed below and we invite you to call us by viewing the member contact information for your area if you need help understanding your rights and responsibilities.
- Copy of medical records. Each member is guaranteed the right to request and receive a copy of their medical records, and to request that the records be amended or corrected.
- Dignity and privacy. Each member is guaranteed the right to be treated with respect and with due consideration for their dignity, right to privacy, and right to confidentiality.
- Freedom from restraint or seclusion. Each member is guaranteed the right to be free of any restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation.
- Free exercise of rights. Each member is free to exercise their rights, and the exercise of those rights does not adversely affect the way the member is treated by PerformCare and the provider.
- Make recommendations. Each member has the right to make recommendations regarding PerformCare's member rights and responsibilities policies.
- Participate in decisions. Each member is guaranteed the right to participate in decisions regarding their health care, including the right to refuse treatment. You can be a part of your treatment team by asking questions and getting answers before and during your treatment and involving family members and other important people in your treatment.
- Receive information. Each member has the right to receive information about PerformCare, our policies and procedures, our services, our practitioners and providers, and your rights and responsibilities.
- Receive information on available treatment options. Each member is guaranteed the right to receive information on medically necessary available treatment options and alternatives, presented in a manner appropriate to the member's condition and ability to understand, regardless of cost or benefit coverage.
- Refuse treatment. Each member, as part of making decisions regarding their care, can refuse treatment. You have the right, under these circumstances, to get an explanation of what may happen if you don't get treatment.
- Voice complaints or appeals. Each member has the right to voice complaints or appeals about PerformCare or the care provided to them. Let us know if you are unhappy about any decision made by us or one of our providers.
- Follow instructions. Each member has the responsibility to follow plans and instructions for care that they have agreed on with providers.
- Supply information. Each member has the responsibility to supply information (to the extent possible) that PerformCare and our providers need to provide care.
- Understand. Each member has a responsibility to understand their health problems and participate in mutually agreed-on treatment goals to the degree possible.
In addition to these responsibilities, members of PerformCare also have the following responsibilities:
- Be at appointments on time.
- Be part of the treatment team by telling your doctor or therapist about symptoms and ask questions.
- Call if you must cancel.
- Carry your insurance cards with you.
- Take medication as prescribed and tell your doctor if there is a problem.
- Tell us if you have other insurance.
- Tell your doctor or therapist if you do not agree with recommendations.
- Tell your doctor or therapist when/if you want to end treatment.
- Treat others with consideration and respect.
Another important right PerformCare members need to know about is the right to request a second opinion. Members can request a second opinion from a qualified health care professional within PerformCare's network. PerformCare will provide for a second opinion from an appropriate behavioral health care professional within the network or arrange for the member to get one outside the network at no cost to the member.
Call PerformCare for more information about this right and benefit.
If you feel that your rights have been violated or if you want more information about these and other rights, please call PerformCare and let us know. We will work to make sure your rights are respected.