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Medicare Beneficiaries Rights and Responsibilities




Aligned Medicare Beneficiaries of America’s ACO 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 America’s ACO of their rights to CMS. 


Aligned Medicare Beneficiaries of America’s ACO 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.

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