SHP has adopted the Florida Member's Bill of Rights and Responsibilities. You can request a copy of it from your doctor.

Members' Rights

• Enrollees have the right to be treated with respect and with due consideration for his or her dignity and privacy.
• A member has the right to a prompt and reasonable response to questions and requests.
• A member has the right to know who is providing medical services and who is responsible for his or her care.
• A member has the right to know what patient support services are available, including whether an interpreter is available if he or she does not speak English.
• A member has the right to know what rules and regulations apply to his or her conduct.
• Enrollees have the right to receive information on available treatment options and alternatives, presented in a manner appropriate to the enrollee’s condition and ability to understand.
• Enrollees have the right to participate in decision regarding his or her health care, including the right to refuse treatment.
• A member has the right to be given, upon request, full information, and necessary counseling on the availability of known financial resources for his or her care.
• A member who is eligible for Medicare has the right to know, upon request and in advance of treatment, whether the health care provider or health care facility accepts the Medicare assignment rate.
• A member has the right to receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.
• A member has the right to receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have the charges explained.
• A member has the right to treatment for any emergency medical condition that will deteriorate from failure to provide treatment.
• A member has the right to know if medical treatment is for purposes of experimental research and to give his or her consent or refusal to participate in such experimental research.
• A member has the right to express grievances regarding any violation of his or her rights, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served him or her and to the appropriate state licensing agency.
• Enrollees have the right to be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation.
• Enrollees have the right to request and receive a copy of his or her medical records, and request that they be amended or corrected.
• Enrollees have the right to be furnished health care services in accordance with federal and state regulations.
• The State must ensure that each enrollee is free to exercise his or her rights, and that the exercise of those rights does not adversely affect the way the health plan and its providers or the State agency treat the enrollee.

Members' Responsibilities

• A member is responsible for giving to the health care provider, to the best of his or her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his or her health.
• A member is responsible for reporting unexpected changes in his or her condition to the health care provider.
• A member is responsible for reporting to the health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her.
• A member is responsible for following the treatment plan recommended by the health care provider.
• A member is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility.
• A member is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider's instructions.
• A member is responsible for assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.
• A member is responsible for following health care facility rules and regulations affecting patient care and conduct.