Rights and Responsibilities

Patients’ Rights

As our patient, you have a right to:

  • Be treated with respect, giving consideration to your right to privacy and the need to maintain confidentiality of your medical information.
  • Receive health care services regardless of your race, ethnicity, national origin, religion, sex, age, mental or physical disability or medical conditions, sexual orientation, claims experience, medical history, evidence of insurability (including conditions arising out of acts of domestic violence), genetic information, or source of payment.
  • Participate in decision making regarding your own health care, including the right to refuse treatment.
  • Have a candid discussion regarding appropriate or medically necessary treatment options for conditions, regardless of the cost or benefit coverage.
  • Receive care coordination.
  • Voice grievances, either verbally or in writing, regarding the care received.
  • Request an appeal of decisions to deny, defer, or limit services or benefits.
  • Receive oral interpretation services for your language.
  • Have access to, or where legally appropriate, receive copies of, amend or correct your medical record.
  • Be represented by parents, guardians, family members or other conservators if you are unable to fully participate in treatment decisions.
  • Request and receive information about how medical treatment decisions are made as well as the criteria or guidelines applied when making such decisions
  • Be notified following a breach of your unsecured protected health information.

Patients’ Responsibilities

Our patients share responsibility for their care, including:

  • Be familiar with the benefits, limitations and exclusions of your health plan coverage.
  • Supply your health care provider with complete and accurate information which is necessary for your care (to the extent possible).
  • Be familiar and comply with our rules for receiving routine, urgent, and emergency care.
  • Contact your Primary Care Physician (or covering doctor) for any non-urgent or emergency care that you may need after the doctor’s normal office hours, including on weekends and holidays.
  • Be on time for all appointments and notify the physician’s or other provider’s office as far in advance as possible for appointment cancellation or rescheduling.
  • Obtain an authorized referral form from your PCP before making an appointment with a specialist and/or receiving any specialty care.
  • Understand your health problems, participate in developing mutually agreed upon treatment goals to the degree possible, and inform your doctors and health care providers if you do not understand the information they give you.
  • Follow treatment plans and instructions for care you have agreed on with your doctors and healthcare providers, and report changes in your condition.
  • Accept your share of financial responsibility for services received while under the care of a physician or while a patient at a facility.
  • Treat your doctors and health care providers and their office staff with respect.
  • Respect the rights, property and environment of your physicians and health care providers, their staff and other patients

Patient Privacy

SeaView IPA understands the importance of keeping your health information confidential and we are committed to use of your health information that is consistent with state and federal law. We maintain physical, technical and administrative safeguards to ensure the privacy of your protected health information.

At SeaView IPA, we gather data about our patients and the health care services provided to them, group the data together, and use the information to develop our quality programs and services. This "grouped data" is shared with health care organizations, regulatory agencies and accreditation organizations - which, in turn, use the data to monitor the delivery of health care services to certain populations. Any patient data that is exchanged electronically between our doctors, our administrative staff, health plans or any other entity is protected as required by current state and federal laws.

When requested, we will provide our patients information on how we use their personal health information. Patients also have the right to review their own personal health information and amend it. Additionally, SeaView IPA uses a safe, secure process for receiving, analyzing, resolving and complying with our patients' request to restrict the use and disclosure of their protected health information. To request an accounting of disclosures of your personal health information, or to review your own personal health information, please contact us at (805) 988-5188 or memberservices@svipa.com.


Members