Users Manual Part 8

363
Appendix
1-978-600-7850). For all other questions, concerns, or complaints, please contact
us between the hours of 8:30 am and 6:00 pm Eastern Time, Monday through
Friday, at 1-800-591-3455 (from outside the United States, 1-978-600-7850). We
will respond immediately whenever possible; some issues may take up to 14 days
to resolve.
CHAP Accredited
Insulet Corporation has been accredited by the Community Health Accreditation
Program (CHAP) since 2007. To learn more about CHAP or to communicate
concerns that you have been unable to resolve directly with the company, please
visit www.chapinc.org or call CHAP at 1-800-656-9656.
Customer's Bill of Rights and Responsibilities
You have the right to:
1. Receive considerate and respectful service.
2. Receive service without regard to race, creed, national origin, sex, age,
disability, sexual orientation, illness, or religious aliation.
3. Expect condentiality of all information pertaining to you, your medical care
and service. Please review our HIPAA Privacy Notice later in this section.
4. Receive a timely response to your request for service.
5. Receive continued service.
6. Select the medical equipment supplier of your choice.
7. Make informed decisions regarding your care planning.
8. Understand what services will be provided to you.
9. Obtain an explanation of charges, including policy for payment.
10. Agree to or refuse any part of the plan of service or plan of care.
11. Voice complaints without fear of termination of service or other reprisals.
12. Have your communication needs met.
You have the responsibility to:
1. Ask questions about any part of the plan of service or plan of care that you do
not understand.
2. Use the equipment for the purpose for which it was prescribed, following
instructions provided for use, handling care, safety and cleaning.
3. Supply Insulet Corporation with insurance information necessary to obtain
payment for services.
4. Be accountable for charges not covered by your insurance. You are
responsible for settlement in full of your account.