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| PATIENT BILL OF RIGHTS AND RESPONSIBILITIES
UniMed provides a copy of the Patient Bill of Rights and Responsibilities to each patient upon admission.
Copies of the Patient Bill of Rights and Responsibilities will be made available to anyone requesting a copy.
PATIENT BILL OF RIGHTS AND RESPONSIBILITIES
We believe that all patients receiving services from UniMed should be informed of their rights. Therefore, you are entitled to:
- Receive reasonable coordination and continuity of services from the referring agency for home medical equipment services.
- Receive a timely response from UniMed when homecare services/care is needed or requested.
- Be fully informed in advance about service/care to be provided and any modifications to the Plan of Service/Care.
- Participate in the development and periodic revision of the Plan of service/care.
- Informed consent and refusal of service/care or treatment after the consequences of refusing service/care or treatment are fully presented.
- Be informed in advance of the charges, including payment for service/care expected from third parties and any charges for which the patient will be responsible.
- Have one’s property and person treated with respect, consideration, and recognition of patient dignity and individuality.
- Be able to identify visiting staff members through proper identification.
- Voice grievances/complaints or recommend changes in policy, staff or service/care without restraint, interference, coercion, discrimination or reprisal.
- Choose a health care provider.
- Confidentiality and privacy of all information contained in the patient record and of Protected Health Information.
- Receive appropriate service/care without discrimination in accordance with physician orders.
- Be informed of any financial benefits when referred to an organization.
- Be fully informed of one’s responsibilities.
- Be informed of provider service/care limitations.
- Be informed of patient rights under state law to formulate advanced care directives.
- Be informed of anticipated outcomes of service/care and of any barriers in outcome achievement.
Patient Responsibilities:
- Patient agrees that rental equipment will be used with reasonable care, not altered or modified, and returned in good condition (normal wear and tear excepted).
- Patient agrees to promptly report to UniMed any malfunctions or defects in rental equipment so that repair/ replacement can be arranged.
- Patient agrees to provide UniMed access to all rental equipment for repair/replacement, maintenance, and/or pick-up of the equipment.
- Patient agrees to use the equipment for the purposes so indicated and in compliance with the physician’s prescription.
- Patient agrees to keep the equipment in their possession and at the address to which it was delivered, unless otherwise authorized by UniMed.
- Patient agrees to notify UniMed of any hospitalization, change in customer insurance, address, telephone number or physician, and when the medical need for the rental equipment no longer exists.
- Patient agrees to request payment of authorized Medicare, Medicaid, or other private insurance benefits to be paid directly to UniMed for any services furnished by UniMed.
- Patient agrees to accept all financial responsibility for home medical equipment furnished by UniMed.
- Patient agrees to pay for the replacement cost of any equipment damaged, destroyed, or lost due to misuse, abuse or neglect.
- Patient agrees not to modify the rental equipment without the prior consent of UniMed.
- Patient agrees that any authorized modification shall belong to the titleholder of the equipment unless equipment is purchased and paid for in full.
- Patient agrees that title to the rental equipment and all parts shall remain with UniMed at all times unless equipment is purchased and paid for in full.
- Patient agrees that UniMed shall not insure or be responsible to the PATIENT for any personal injury or property damage related to any equipment; including that caused by use or improper functioning of the equipment; the act or omission of any other third party, or by any criminal act or activity, war, riot, insurrection, fire or act of God.
- Patient understands that UniMed retains the right to refuse delivery of service to any PATIENT at any time.
- Patient agrees that any legal fees resulting from a disagreement between the parties shall be borne by the unsuccessful party in any legal action taken.
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