Rights and Responsibilities

You have the right to:

• Be treated with respect and dignity.
• Information disclosure.
• 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.
• Culturally and Linguistically appropriate services. For more information please visit the Non-Discrimination Notice and Translations page.
• 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.