Patients Rights and Responsibilities
St. Mary High Desert Medical Group is committed to partnering with you
in maintaining your good health.
As a patient, you have the right to:
- Exercise these rights without regard to gender, sexual orientation or cultural,
economic, educational or religious background.
- Receive information about our medical group, its services, and health care
- Be treated with professionalism, respect, courtesy and dignity.
- Have all matters considered with privacy and confidentiality.
- Participate in decisions about healthcare and treatments, as well as receive
adequate information about your diagnosis and proposed treatment plan
from your healthcare provider.
- A candid discussion of appropriate or medically necessary treatment option
for your condition, regardless of cost or benefit coverage.
- Refuse any procedure or treatment if you so desire and be told what effect
this may have on your health.
- Be informed of abnormal test results in a timely manner.
- Have access to acute medical care twenty-four (24) hours a day, through
emergency room coverage, every day of the year if you have a life threatening
- Have the physician whom you visit focus his or her best efforts on your
behalf in order to make a diagnosis and develop a proposed treatment plan
based on the information available at the time of the visit.
- Receive complete information about our fees upon request.
- Right to voice complaints or appeals about the medical group or the care provided.
- Knowledge that St. Mary High Desert Medical Group physicians do not reward
practitioners or other individuals conducting utilization review for issuing
denials of coverage, service or decisions that result in under-utilization.
- Have the right to submit to the provider an amendment to the medical record
if upon review the patient believes any item or statement is incorrect
- Right to be represented by parent, guardians, designated family members
or other conservators for those who are unable to fully participate in
their treatment decisions.
As a patient, you have the responsibility to:
- Provide your healthcare provider with complete and accurate information.
- Follow the treatment plan agreed upon by you and your physician, and notify
him/her of any significant changes in your condition.
- Recognize that your primary care physician will provide the care he or
she is trained to provide prior to seeking consultation with a specialist.
- Know the benefits, limitations and exclusions of your insurance coverage.
- Pay for services rendered, including co-payments and deductibles.
- Understand that before specialty care may be obtained, you must receive
a referral from your primary care physician, if required by your insurance company.
- Give adequate notice of delay or cancelation of scheduled appointments.
- Contact your primary care physician or a substitute anytime for perceived
urgent medical needs or questions.
- Know how to access healthcare services for routine, urgent and emergency
situations. An emergency is a serious condition requiring immediate intervention.
An urgent condition could either lead to a potentially harmful outcome
if not treated or requires immediate attention (within 24 hours) due to
the severity of the symptoms. A non-urgent condition included a limited
physical exam or follow-up of acute or chronic medical or surgical conditions.
To designate a family member(s) or other conservator(s) if you are unable
to participate in treatment decisions.
Please note: Our Utilization Management (UM) staff are available Monday-Friday
during normal business hours to accept collect calls regarding any UM
issues. They can be reached at (760) 669-3051.