Patient Bill of Rights

The Patient has the Right to:

• Be treated with consideration, respect and full recognition of dignity and individuality, including privacy in treatment and care of personal needs without discrimination.
• Speak to a health professional.
• Receive information about the patient management program.
• Be fully informed of the patient management program, current care and any changes made, including termination, regarding the care and treatment to be provided by St. Matthews Specialty Pharmacy.
• Know about philosophy and characteristics of the patient management program.
• Receive care appropriate to his/her needs and speak to a health care professional in a timely manner.
• Receive prompt response to all reasonable inquiries or grievances.
• Identify the program’s staff members, including their job title, and to speak with a staff member’s supervisor if requested.
• Be advised, before care is initiated, of the extent to which payment for the organization’s services may be expected from Medicare / Medicaid, insurance, or the client’s liability for payment, billing cycles, changes in payment.
• Be informed of any financial benefits when referred to an organization.
• Be informed of any provider limitations affecting treatment of care.
• Receive prompt response to all reasonable interruption of services.
• Be informed of any rights and responsibilities he/she may have in the care process.
• Receive the information necessary to make decisions regarding his/her care.
• Accept or refuse any treatment, or services, and revoke consent or disenroll at any point in time.
• A referral if the patient is denied services solely on his or her inability to pay.
• Have personal health information shared with the patient management program only in accordance with state and federal law.
• Voice grievance and recommend a change in policy, service or staff without fear, reprisal, discrimination or unreasonable interruption of service with the pharmacy at 844-690-4462 or to the compliance hotline at 833-222-4169.
• Appeal decisions made by St. Matthews Specialty Pharmacy concerning your health care. These appeals should be made in writing addressed to the Pharmacist in Charge.

All Patients have a Responsibility to:

• Give accurate and complete contact information, health information, disclose all medications and other pertinent items, and to notify St. Matthews Specialty Pharmacy of any changes in this information.
• Assist in developing and maintaining a safe environment for patient care.
• Participate in the development and update of their therapy care plan and adhere to the care plan.
• Request further information concerning anything they do not understand.
• Give information regarding concerns and problems they have to a St. Matthews Specialty Pharmacy staff member.
• Submit any forms that are necessary to participate in the program, to the extent required by law
• Inform St. Matthews Specialty Pharmacy if they are in the hospital, have utilized emergency services, and disclose all medications taken or changed.
• Notify their treating provider of their participation with St. Matthews Specialty Pharmacy.