Mom holding daughter in a field of corn

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.