Our Responsibilities as Your Health Plan

We must:

• Give you information about the plan, its network of providers, and your covered services
• Ensure that you get timely access to your covered services and drugs
• Protect the privacy of your personal health information
• Give you information about the plan, its network of providers, and your covered services
• Support your right to make decisions about your care

We must provide information in a way that works for you (in languages other than English, Braille, large print or other alternative formats).

• The Provider Directory is available in paper form without charge upon the Member’s request and will be provided within five business days of the Member’s request.
• To get information from us in a way that works for you, please call Member Services.

What can you do if you believe you are being treated unfairly or your rights are not being respected?

• You have the right to make complaints and to ask us to reconsider decisions we have made.
• Call the Department of Health and Human Services’ Office for Civil Rights at 1.800.368.1019 or TTY 1.800.537.7697 or call your local Office for Civil Rights.

Your Responsibilities as a Member:

• Get familiar with your covered services and requirements
• Tell us if you have any other health insurance or prescription drug coverage in addition to our plan
• Tell your doctor and other healthcare providers that you are enrolled in our plan
• Tell us if you move
• Call Member Services for help if you have questions or concerns