Member materials and tools

See rights and responsibilities

Magellan Complete Care wants you to know that as a member you have:

  • A right to receive information about Magellan Complete Care, its services, its practitioners and providers and member rights and responsibilities
  • A right to be treated with respect and recognition of your dignity and their right to privacy
  • A right to participate with practitioners in making decisions about your health care
  • A right to a candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage
  • A right to voice complaints or appeals about Magellan Complete Care or the care it provides
  • A right to make recommendations regarding Magellan Complete Care’s member rights and responsibilities policy
  • A responsibility to supply information (to the extent possible) that Magellan Complete Care and its practitioners and providers need in order to provide care
  • A responsibility to follow plans and instructions for care that you have agreed to with their practitioners
  • A responsibility to understand your health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible

Magellan Complete Care has also adopted the Florida Patient’s Bill of Rights and Responsibilities.

Your doctors have a copy of this in their office.

 You have the right to:
  • Be treated with courtesy and respect
  • Protection of privacy
  • Receive a prompt response to questions and requests
  • Know who is providing your medical services and care
  • Know what services are available. This includes if you need an interpreter because you don’t speak English
  • Know what rules and regulations apply to your conduct
  • Be given the truth about your health status
  • Refuse any treatment, except as otherwise provided by law
  • Be given full information and counseling on the availability of known financial resources for your care
  • Know whether the health care provider or facility accepts Magellan Complete Care’s contract rates
  • Receive, prior to treatment, a reasonable estimate of cost
  • Receive a copy of an itemized bill. If you want to have the charges explained, your doctor has to do so
  • Receive medical treatment or accommodations, regardless of race, national origin, religion, handicap, or source of payment
  • Receive treatment for any emergency medical condition that will deteriorate from failure to provide treatment
  • Know if medical treatment is for purpose of experimental research. If it is, then you can refuse or accept the services
  • Express complaints regarding any violation of your rights
 A member is responsible for:
  • Giving your provider accurate information about your past and present health status
  • Reporting unexpected changes in your health status
  • Telling your provider if you understand what is expected of you
  • Following the treatment plan recommended by your provider
  • Keeping doctor appointments
  • If you can’t keep the appointment, notify the provider you can’t come
  • Knowing what will happen to you if you ignore the provider’s treatment plan
  • Making sure financial responsibilities are met
  • Following the provider’s conduct rules and regulations