Your Rights

• You have the right to receive accurate information about your health plan, its services, its network of providers, and your rights and responsibilities.
   
• You have the right to receive accurate information on utilization management notification requirements and case management services.
   
• You have the right to be treated with respect, in a manner that preserves your dignity and recognizes your right to privacy.
   
• You have the right to participate fully, with your providers, in decision-making that affects your health care.
   
• You have the right to expect a candid discussion of all appropriate or medically necessary treatment options pertaining to your condition, regardless of cost or benefit coverage.
   
• You have the right to voice complaints or appeals about your health plan or the care delivered by any of its providers.
   
• You have the right to make recommendations regarding our members’ rights and responsibilities policy.

Your Responsibilities

Likewise, you share responsibility for maintaining your own good health.

• You have the responsibility to provide, to the extent possible, information that the health plan needs to process claims and information your providers need to provide care for you.
   
• You have the responsibility to participate in understanding your health problems and participate in developing mutually agreed upon treatment goals to the degree possible.
   
• You have the responsibility to follow the plans and instructions for care that you have agreed to with your providers.
   
• You have the responsibility to present your ID card prior to receiving services.