Privacy of your personal health information that we maintain, following state and federal laws.
Receive information about the benefits, limitations and exclusions of your health plan, including how to access our network of hospitals, physicians and other health care providers.
Work with your doctor and other health care professionals about decisions regarding your treatment.
Discuss all of your treatment options, regardless of cost or benefit coverage.
Make a complaint or file an appeal about your health plan, any care you receive or any benefit determination your health plan makes. To file a complaint, please contact us or call the Member Services number on the back of your member ID card.
Make recommendations to us about this rights and responsibilities policy.
Give us suggestions about how we can better serve you and other members.
You have the responsibility to:
Read and be familiar with your health plan coverage information and what your plan covers and doesn’t cover, or ask for help if you need it.
If your plan has different in- and out-of-network benefits, understand how your choice of an in- or out-of-network health care provider will impact what you pay out of your own pocket, or ask for help if you need it.
Give us all the information we need to process your claims and provide you with the benefits you’re entitled to under your plan.
Give all your health care providers the information they need to appropriately treat you.
Advise us of any changes that affect you or your family, such as a birth, marriage/divorce or change of address.
Understand your own health and work with providers to develop and follow an agreed-upon plan.