RESPECT AND CONFIDENTIALITY

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Your Rights & Responsibilities

As a home care patient, you have the right to be informed of your rights and responsibilities before the initiation of care/service. when a patient has been judged incompetent, the patient's family or guardian may exercise these rights as described below as they relate to:

RESPECT AND CONFIDENTIALITY

you have the right:

1. To be treated with consideration, respect, and dignity, including the provision of privacy during care.

FINANCIAL ASPECTS OF CARE

you have the right:

1. To be informed of the extent to which payment of the hospice services may be expected from Medicare, Medicaid, or any other payer.

SELF DETERMINATION

you have the right:

1. To refuse all or part of your care/treatment to the extent permitted by law and to be informed of the expected consequences of said action.

RESPECT AND CONFIDENTIALITY

RESPECT AND CONFIDENTIALITY, you have the right:

1. To be treated with consideration, respect, and dignity, including the provision of privacy during care.

2. To have your property treated with respect.

3. To have staff communicate in a language or form you can reasonably be expected to understand and when possible, the organization assists with or may provide special devices, interpreters, or other aids to facilitate communication.

4. To maintain confidentiality of your clinical records in accordance with legal requirements and to anticipate the organization will release information only with your authorization or as required by law.

5. To be informed of the organization's policies and procedures for disclosure of your clinical record.

FINANCIAL ASPECTS OF CARE, you have the right:

1. To be informed of the extent to which payment of the hospice services may be expected from Medicare, Medicaid, or any other payer.

2. To be informed of charges not covered by Medicare and/or responsibility for any payment(s) that you may have to make.

3. To receive this information orally and in writing before care is initiated and within 30 calendar days of the date the organization becomes aware of any changes.