Members Rights & Responsibilities

Members Rights and Responsibilities

As a KFHC member, you have the right to:

• Be treated with respect and dignity.
• Choose your primary care practitioner from our Provider Directory.
• Get appointments within a reasonable amount of time.
• Participate in candid discussions and decisions about your health care needs, including appropriate or medically necessary treatment options for your condition(s), regardless of cost and regardless of whether the treatment is covered by this health plan.
• Have a confidential relationship with your provider.
• Have your records kept confidential. This means we will not share your health care information without your written approval or unless it is permitted by law.
• Voice your concerns about KFHC, or about health care services you received, to KFHC.
• Request a State Fair Hearing.
• Receive information about KFHC, our services, and our providers.
• Make recommendations about your rights and responsibilities.
• See, correct, and a get a copy of your medical records.
• Get family planning services, services at Federally Qualified Health Centers, sexually transmitted disease services, and emergency services from non-participating providers as stated in Federal law.
• Request an interpreter at no charge to you.
• Use interpreters who are not your family members or friends.
• Get your KFHC member materials in alternative formats including Braille, large size print, and audio format upon request.
• File a complaint if your linguistic needs are not met.
• Disenroll from KFHC.
• Get minor consent services.

Your responsibilities are to:

• Give your providers and KFHC correct information.
• Understand your health problem(s) and participate in developing treatment goals, as much as possible, with your provider.
• Always let your provider know you are a KFHC member. Make sure you take your Member Identification Card to your appointments. Show it to the office staff when you check in.
• Use the emergency room only when you have an emergency or when your provider tells you to do so.
• Make and keep medical appointments. Let your provider know you need to cancel an appointment at least 24 hours before the appointment is scheduled.
• Ask questions about any medical condition. Make sure you understand your provider’s explanations and instructions.
• Help KFHC keep accurate and current medical records by letting us know when you change your address, family status, or other health care coverage.
• Notify KFHC as soon as possible if you receive a bill or if you have a complaint.
• Treat all KFHC personnel and health care providers respectfully and courteously.