Medicare Beneficiaries Rights and Responsibilities

• CENTRAL FLORIDA PHYSICIANS TRUST (CFPT) DECLARATION OF MEDICARE BENEFICIARIES RIGHTS AND RESPONSIBILITIES

MEDICARE BENEFICIARY RIGHTS

Aligned Medicare Beneficiaries of Central Florida Physicians Trust (CFPT) have the right to:

• Be treated with courtesy and respect, with appreciation of your dignity, and protection of your need for privacy.

• A prompt and reasonable response to questions and requests.

• Know who is providing medical services and who is responsible for their care.

• Know what patient support services they can get, and if an interpreter is available if they do not speak English.

• Know what rules and laws apply to the conduct of staff or contract providers.

• Be provided by contracted providers, information about diagnosis, planned course of treatment, alternatives, risks and prognosis.

• Refuse any treatment, except as provided by law.

• Receive, before treatment, a reasonable estimate of charges for medical care.

• Receive a copy of a reasonable, clear, and understandable detailed bill and, upon request, to have the charges explained.

• Access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap, or source of payment.

• Treatment for any emergency medical condition that will get worse from failure to provide treatment.

• Know if medical treatment is for experimental research and to grant consent or refusal to take part in such experimental research.

• Private and confidential handling of medical records and, expect when required by law, be given the chance to approve or refuse their release.

• Express grievances about any violation by CFPT of their rights to CMS.

BENEFICIARY RESPONSIBILITIES

Aligned Medicare Beneficiaries of Central Florida Physicians Trust (CFPT) are expected to:

• Provide their health care provider, to the best of their knowledge, correct and complete information about present complaints, past illnesses, hospital stays, medicines and other health matters.

• Report unexpected changes in their condition to their health care provider.

• Discuss with their health care provider if they do not comprehend a course of treatment and/or what is expected of them.

• Follow the treatment plan suggested by their health care provider.

• Keep appointments, and when they are unable to do so for any reason, notify their health care provider or the health care facility.

• Answer for their actions if they refuse treatment or do not follow the health care provider’s instructions.

• Assure that the financial obligations of their health care are fulfilled as promptly as possible.

• Follow health care facility rules and laws that affect patient care and conduct.