MEMBER RIGHTS AND RESPONSIBILITIES

                      ᎨᎵ     ᎤᏐᏯᏍᏗᏍᎩ   ᏃᎴ     ᏚᏚᏓᎸᎢ

                       Keli   usoyasdisgi    nole   dududalvi

As an EBCI Tribal Option Member, you have certain rights and responsibilities. Providers must also adhere to these Rights and Responsibilities when providing services and supports to you.

Member Rights

ᎨᎵ     ᎤᏐᏯᏍᏗᏍᎩ

Keli  Usoyasdisgi

Right to Considerate and Respectful Care

ᎤᏣᏅᏓ       ᎣᏍᏓ     ᎠᎦᏎᏍᏓᏅ        ᏃᎴ       ᎦᎸᏉᏗᏳ            ᎨᏣᎦᏎᏍᏙᏗ

Utsanvda   Osda      Agasesdanv   nole     Galvgwodiyu   Getsagasesdodi

You have the right to:

• Expect that we will respect your dignity and privacy as you utilize our care, services, and providers.

• Expect that we will respect your values and beliefs. We will support your beliefs as long as they do not hinder the well-being of others or your planned course of care.

• Be cared for and supported with respect without regard to race, color, National Guard or Veteran’s status, national origin, age, disability, sex, ethnicity, pregnancy, religion, sexual orientation, culture, language, health status, need for health care services, physical or mental disability, socioeconomic status, marital status, or gender identity or expression.

• Report abuse, neglect, discrimination, or harassment to any health care worker, manager, or executive director.

Right to Information

ᎤᏣᏅᏓ      ᏣᎩᏍᏗ        ᎠᎴ    ᏣᏔᏲᏍᏗ       ᎧᏃᎮᏓ

Utsanvda  Tsagisdi     ale     Tsatayosdi   Kanoheda

You have the right to:

• Obtain current and understandable information from physicians and caregivers regarding your diagnosis, treatment, and prognosis, except in emergencies in which you lack the capacity to make decisions and the need for treatment is urgent.

• Have misinformation removed from or disagreeing opinions about treatment or recommendations added to your medical record. Any changes to your medical record will be made free of charge.  

• Discuss and request information related to specific procedures and treatments, including risks involved and reasonable alternatives, and receive assistance when you need information interpreted. You or someone you choose will have access to this information, which can be interpreted if necessary, except when restricted by law.

Right to Decide or Refuse Treatment

ᎤᏣᏅᏓ       ᏗᏧᎪᏙᏗ          ᎠᎴ     ᏣᏓᏱᏍᏗ       ᎡᏣᎦᏎᏍᏙᏗ

Utsanvda  Ditsugododi   ale     Tsadayisdi   Etsagasesdodi

You have the right to:

• Take part in planning your care and have an active role in the person-centered plan, including refusal of treatment, supports, or recommendations at any time.

• Be consulted if a doctor wants you to participate in a research or donor program and allowed to choose whether or not you want to participate. You will receive quality care and support whether or not you choose to participate.

Right to Privacy

ᎤᏣᏅᏓ      ᎤᏕᎵᏓ      ᎸᎤᎵᏍᏙᏗ    ᏁᏣᏛᏁᎲ         ᎡᏣᎦᏎᏍᏙᏗ

Utsanvda  Udelida   Iyulisdodi   Netsadvnehv  Etsagasesdodi

You have the right to:

• Every consideration of privacy. Discussion of your care, consultations, examinations, and treatment will be conducted privately and discreetly. Individuals not directly involved in your care must have your permission to be present.

Right to Confidentiality

ᎤᏣᏅᏓ       ᏣᏔᏲᏍᏗ      ᎤᏕᎵᏓ      ᎸᎤᎵᏍᏙᏗ     ᏧᎾᏓᏛᎪᏔᏅᎯ

Utsanvda   Tsatayosdi   Udelida   Iyulisdodi    Tsunadatvgotanvhi

You have the right to:

• Expect that all communications and records pertaining to your care will be treated as confidential, except in cases of suspected abuse and public health hazards when reporting is required by law.

Right to Reasonable Response

ᎤᏣᏅᏓ      ᎤᎶᏒᏍᏗ    ᏂᎨᏍᎥᎾ      ᎡᏣᏁᏤᏗ

Utsanvda  Ulosvsdi    Nigesvna   Etsanetsedi

You have the right to:

• Obtain second opinions or request external assistance in accomplishing your care plan goals. You may include family, friends, and advocates to be on your Care Team to assist you with understanding and addressing your identified care support needs.

Right to Continuity of Care

ᎤᏣᏅᏓ      ᏫᎬᎵᏰᎵᏒ        ᎡᏣᎪᏎᏍᏗᏍᎬ      ᏣᏕᎶᎰᎯᏍᏗᏱ

Utsanvda  wigvliyelisv  Etsagosesdisgv   Tsadelohohisdiyi

You have the right to:

• Reasonable continuity of care. You have the right to know, in advance, what appointment times and physicians are available.

• Expect that your providers and other support agencies will keep you informed of your continuing health care requirements following discharge.

Right to Advance Directive

ᎤᏣᏅᏓ      ᏨᏌ    ᏣᏓᏅᏖᏓ          ᏗᏧᎪᏙᏗ

Utsanvda Tsvsa  Tsadanvteda  Ditsugododi

You have the right to:

• An Advance Directive, such as a living will or health care power of attorney. These documents express your choices about your future care or name someone to make decisions for you if you cannot speak for yourself. A copy of the health care power of attorney will be required whenever that person is making decisions on your behalf.

• Receive information and assistance that can help you formulate an Advanced Directive. Contact your Primary Care Provider, Care Manager, or Member Services to request this information and assistance.

Right to Knowledge of Policies and Practices Affecting Your Care

ᎤᏣᏅᏓ      ᏣᏕᎶᎯᏍᏗ       ᏗᎳᏏᏙᏗ      ᏃᎴ      ᎸᎠᏛᏁᏗ      ᎤᏒᏂᏍᏗᏍᎬ   ᎡᏣᎦᏎᏍᏛᎢ

Utsanvda  Tsadelohisdi  Dilasidodi  nole   Iyadvnedi   Usvnisdisgv   Etsagasesdvi

You have the right to:

• Be informed of our policies and practices that relate to your care and services.

• Voice complaints and recommend changes without being subject to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment, and services.

• Be informed about resources that resolve disputes and grievances. If your concerns are not resolved with the EBCI Tribal Option, you may report them to the NC DHHS.

• You can also contact the NC Medicaid Ombudsman any time you feel you were not fairly treated. For more information about the NC Medicaid Ombudsman, refer to page 71.

Right to an Interpreter

ᎤᏣᏅᏓ      ᏣᏔᏲᏍᏗ      ᎠᏁᏍᏗᏍᎩ

Utsanvda  Tsatayosdi   Anesdisgi

You have the right to:

• An interpreter, translation services, or other forms of communication if you do not speak English or have trouble reading, hearing, or communicating.

• A minister/spiritual advisor of your choosing.
• Present your concerns, receive spiritual care, receive advice concerning ethical issues related to care, discharge planning, and money matters concerning care.

Member Responsibilities

ᎨᎵ      ᎤᏓᏚᏓᎸᎢ

Keli   Udadudalvi

• Provide correct and complete reports about your health.
• Let your doctor and Care Manager know if you do not understand the plan for your care and services or your role in that plan.
• Participate in your plan of care and services prepared by you, your PCP, and your care team.
• Understand the fact that you may cause your health to become worse if you refuse treatment or do not follow your care plan.
• Report changes in your health and keep your appointments.
• Consider the needs and feelings of other patients and members of your care team.
• Provide an Advance Directive (Five Wishes, Living Will, or Healthcare Power of Attorney) if you have one.

Rights and Responsibilities for Pediatric Members and Their Families

ᎤᏣᏅᏛ     ᏃᎴ      ᎤndᎠᏚᏓᎸ        ᏗᏂᏲᏟ       ᎠᏁᎵ     ᏃᎴ    ᏏᏓᏁᎸᎯ

Utsanvdv  nole   Unadadudalv  Diniyotli   Aneli   nole  Sidanelvhi

In addition to the Member rights and responsibilities previously listed, the following rights and responsibilities specifically apply to pediatric Members [under eighteen (18) years of age]:

You have the right to:

• Receive timely reports about your care that you can understand.

• Emotional support.

• Your need to grow, play, and learn.

• Make your own choices when you are able to do so.

Family Responsibilities

ᏏᏓᏁᎸ        ᎤᎾᏓᏚᏓᎸᎢ

Sidanelv   Unadadudalvi

Provide correct, complete reports about your child’s health.

• Give your child the care he or she needs.
• Think about and respect the rights of other patients, families, and other members of the care team.