Diabetes Care Club:® Patient Bill of Rights and Responsibilities

Diabetes Care Club (DCC) believes that open and honest communication is a foundation of effective health care and patient satisfaction; therefore, we provide the following:

At a minimum, you have the right:

• to be fully informed of your rights and responsibilities;
• to decide who will provide your health care services;
• to know the identity of persons providing home care services to you;
• to receive prescribed services or items in a professional manner without regard to your age, race, gender, religion, national origin, linguistic preference, sexual preference or physical or mental disability;
• to be treated professionally, courteously, and respectfully by all individuals representing DCC who provide services to you and to be treated with full recognition of your dignity and individuality;
• to participate in making decisions about your plan of care prior to and during the course of treatment;
• to receive services free from abuse, neglect, exploitation, or maltreatment without fear of discrimination or reprisal. You may call DCC’s Corporate Compliance Officer at 1.800.630.3535;
• to obtain health care information concerning your condition (unless medically inadvisable and so documented in the medical record), planned course of treatment, alternative treatments and risks of associated treatments;
• to be informed of DCC’s policies and practices that relate to your plan of care;
• to be informed of charges for services and the availability of known financial resources for your services;
• to refuse treatment and services to the extent permitted by law, and to be informed of the medical consequences that could result from such refusal;
• to expect that DCC will comply with State and Federal guidelines regarding advance directives;
• to expect all health care communications pertaining to your care will be treated as confidential;
• to have access to your medical records as defined by State and Federal guidelines;
• to access and use DCC’s forms from its website. You may access DCC’s website at www.DiabetesCareClub.com;
• to be satisfied with your service and to be able to call our Patient Care department to discuss returning your supplies should you not be satisfied, or if your product is defective or otherwise damaged;
• to communicate with DCC service staff at its toll-free telephone number: 1.800.883.0608.

Your responsibilities to DCC and their employees include, but are not limited to:

• providing full information about your illness or condition to allow proper evaluation and treatment to ensure optimal care;
• demonstrating courtesy and respect to the health care team members;
• communicating with the health care team member if your condition worsens or isn’t following the expected course;
• respecting the property of DCC;
• understanding the part that your own health behavior plays in your treatment;
• providing complete and accurate insurance coverage information and assisting company with the filing of your health care claims;
• paying for all co-payments and deductibles and non-covered services promptly and in accordance with any agreement you have made with DCC.

To express concerns or grievances regarding your home care service without fear of discrimination or reprisal and to have any grievances fully investigated, please call 1.800.883.0608. If you feel your concerns have not been appropriately addressed, Medicare beneficiaries may call the Healthcare Quality Association on Accreditation at 866.909.4722.