Absolutely, you will still get medical treatment. We just want you to know that if you become too sick to make decisions, someone else will have to make them for you.
Remember that:
x The Advance Health Care Directive lets you name someone to make treatment decisions for you. That person can make most medical decisions (not just those about life-sustaining treatment) when you cannot speak for yourself. Besides naming an agent, the form allows you to state when you would and would not want particular kinds of treatment;
x If you do not have someone you want to name to make decisions when you cannot, you can still use the Advance Health Care Directive to state that you do not want life-prolonging treatment if you are terminally ill or permanently unconscious;
x If you already have a valid advance directive (such as a Durable Power of Attorney for Health Care or Living Will) executed prior to July 2000, this document is still valid under the new law.
How can I get more information about Advance Directives?
Ask your physician, nurse, social worker or legal professional to get information for you. You may also read the Health Care Decisions Law found in California Probate Code Sections 4600 et seq.
Important information for CCHP Members about Advance Directives
CCHP shares your interest in preventive care and in maintaining good health. However, eventually every family must face the possibility of serious illness in which important decisions must be made. We believe it is never too early to think about decisions that may be very important in the future, and to discuss these topics with your family and friends. CCHP complies with California laws on Advance Directives. We do not condition the provision of care or discriminate against anyone based on whether or not you have an Advance Directive. We have policies to ensure that your wishes about treatment will be followed.
Copies of the forms mentioned in this section are available when you are admitted to a hospital. If you have completed a Durable Power of Attorney, Living Will, Natural Death Act Declaration Form or
CONTRA COSTA HEALTH PLAN
Medi-Cal Evidence of Coverage & Disclosure Form Advance Health Care Directive, please give
your physician a copy and take a copy with you when you check into a hospital or other health facility so that it can be put in your medical record.
SECTION 15. OTHER ISSUES
Payment for ProvidersCCHP does not use financial penalties meant to limit health care. Some participating providers are salaried. Others are paid a fee for each of the services they give. CCHP does pay a case management fee to some PCP's who are Community Physicians based in part on the total cost of health care provided to all of the members who have selected PCP's who are Community Physicians. No payment, however, is made to a participating provider based directly on that provider’s use of referral services. CCHP does not provide bonuses, however providers are given incentives related to quality performance and processes. If you would like more information about payment for participating providers, you may call Member Services at 1-877-661-6230 (press 2) or your own Community Provider. The statements here apply to the RMCN and the CPN. For information about Kaiser Permanente’s payment for providers, please see Kaiser Permanente’s booklet or call Kaiser Permanente’s Member Services.
Arbitration
Kaiser Permanente uses arbitration to settle disputes. Members who choose Kaiser Permanente are subject to their arbitration policies and procedures stated the Kaiser Permanente booklet. For rules covering this arbitration process, please see the Kaiser Permanente booklet or call Kaiser Permanente’s Member Services.
Notice of Information Practices
The Confidentiality of Medical Information Act states that CCHP will keep medical information about a patient, enrollee or subscriber confidential and will not disclose such information unless disclosure is okayed by the patient, enrollee or subscriber or okayed by statute pursuant to California Law.
The Insurance Information and Privacy Protection Act states that CCHP may gather personal information from persons other than the individual or individuals applying for insurance coverage. CCHP will not disclose any personal or privileged information about an individual, which CCHP may have gathered or gotten in connection with an insurance transaction unless the disclosure is following the written okay of the individual or individuals.
Individuals who have applied for insurance coverage through CCHP may ask to get and correct personal information that may have been gathered in connection with the application for insurance coverage.
A statement describing CCHP’s policies and procedures for preserving the confidentiality of medical records is available and will be furnished to you upon request.
For more information about this policy and your rights, you may contact:
Member Services Contra Costa Health Plan 595 Center Avenue, Suite 100
Martinez, CA 94553 1-877-661-6230 (press 2), or
for hearing impaired call California Relay at 1-800-735-2929
CONTRA COSTA HEALTH PLAN
Medi-Cal Evidence of Coverage & Disclosure Form
Rev. 08.21.14 EOC-56 Medi-Cal 2014-2015_EOC