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Rights and Responsibilities

Member Rights & Responsibilities

Know your rights and responsibilities. As an informed member, you'll make informed health care decisions and have more control over your well-being.

Your Rights

You have the right to be treated with respect, and 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 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 make recommendations regarding our members' rights and responsibilities policy.

Your Responsibilities

You have the responsibility to provide information the health plan needs to process claims as well as information your providers need to provide care for you.

You have the responsibility to participate in understanding your health problems and developing mutually agreed-upon treatment goals.

You have the responsibility to follow the care plans and instructions you have agreed to with your providers.

You have the responsibility to present your ID card prior to receiving services.