Member Rights and Responsibilities

Your Member Rights

As a recipient of Medicaid and a member in a Plan, you also have certain rights. You have the right to:

 

Your Member Responsibilities

As a recipient of Medicaid and a member in a Plan, you also have certain responsibilities. You have the responsibility to:

 

Patient Responsibility

You have to pay for the patient responsibility when you live in a facility, like an assisted living facility or adult family care home. Patient responsibility is the money you must pay towards the cost of your care. DCF will tell you the amount of your patient responsibility. Patient responsibility is based on your income and will change if your income changes.

 

Emergency Disaster Plan

Disasters can happen at any time. To protect yourself and your family, it is important to be prepared. There are three steps to preparing for a disaster: 1) Be informed; 2) Make a Plan and 3) Get a Kit. For help with your emergency disaster plan, call Member Services or your case manager. The Florida Division of Emergency Management can also help you with your plan. You can call them at 1-850-413-9969 or visit their website at https://www.floridadisaster.org/

 

Abuse/Neglect/Exploitation of People

You should never be treated badly. It is never okay for someone to hit you or make you feel afraid. You can talk to your PCP or case manager about your feelings.
If you feel that you are being mistreated or neglected, you can call the Abuse Hotline at 1-800-96-ABUSE (1-800-962-2873) or for TTY/TTY at 1- 800-955-8771.
You can also call the hotline if you know of someone else that is being mistreated.
Domestic Violence is also abuse. Here are some safety tips:
•    If you are hurt, call your PCP
•    If you need emergency care, call 911 or go to the nearest hospital. For more information, see the section called EMERGENCY CARE
•    Have a plan to get to a safe place (a friend’s or relative’s home)
•    Pack a small bag, give it to a friend to keep for you
If you have questions or need help, please call the National Domestic Violence Hotline toll free at 1-800-799-7233 (TTY 1-800-787-3224).

 

Getting More Information

You have a right to ask for information. Call Member Services or talk to your case manager about what kinds of information you can receive for free. Some examples are:
•    Your member record
•    A description of how we operate
•    HEDIS results (As a new health plan, Vivida Health will not have HEDIS scores until after 2019.)