Patient Responsibilities

Patient Acceptance of Program Guidelines

Physicians Reach Out is not an insurance plan, Physicians Reach Out offers free or discounted health services donated by its participating physicians, partners and other providers. There is no guarantee that health services will be available to you, or that your health will improve. As long as the Physicians Reach Out program continues, every effort will be made to provide you with the health services requested by your assigned Physicians Reach Out doctor. To continue to receive services, you must maintain your eligibility and follow the program guidelines.

Your Physicians Reach Out ID card will be accepted only   by the doctor assigned to you by Physicians Reach Out,   and then only if you have followed the guidelines below.

  You agree to:  

1. Keep each doctor’s appointment. If you miss 2 or more appointments in 12 months, without letting the doctor’s office know at least 24 hours before your appointment, you may be dimissed from the program.
2. Present your Physicians Reach Out ID card each time you see a doctor or any other Physicians Reach Out participating provider.
3. Call your Physicians Reach Out doctor for all questions about your care. You must call your Physicians Reach Out doctor before going to the emergency room, unless you have a life-threatening emergency.
4. Follow your treatment plan. For example, get prescribed medicines and take them as directed.
5. Pay all required fees or make payment arrangements with the provider in advance of treatment.
6. Use your assigned doctor and hospital. You cannot change your doctor or hospital without permission   from Physicians Reach Out.
7. Promptly supply any information requested by Physicians Reach Out or your doctor.
8. Report all income and health information accurately and completely.
9. Allow your Physicians Reach Out doctor to share your medical information to plan your healthcare. You will be given a separate consent form to sign about your medical information.
10. Allow Physicians Reach Out to share information about your participation in Physicians Reach Out with other individuals, organizations and agencies.
11. Remain aware of the expiration date of your eligibility. Do not seek treatment as a Physicians Reach Out patient after you are no longer eligible for treatment. Apply for renewal before the expiration date on your ID card.
12. Immediately contact Physicians Reach Out at (704) 371-4740 if your income changes or you become eligible for Medicare, Medicaid, private insurance, other health insurance or medical benefits.
13. Apply for Medicaid or other assistance if Physicians Reach Out asks you to.
14. Contact Physicians Reach Out at (704) 371-4740 immediately with any changes in your address or phone number.
15. Treat all doctors, office staff and Physicians Reach Out staff and volunteers with respect.
16. Avoid the use of illegal substances and illegal behaviors.