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Your Rights as a Member of ³Ô¹ÏºÚÁÏÍø (HMO D-SNP)

Your Rights as a Member of ³Ô¹ÏºÚÁÏÍø (HMO D-SNP)

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

H9826_IT_10045_092919_M Last updated August 18, 2020.

Why Choose ³Ô¹ÏºÚÁÏÍø?

As a local nonprofit health plan, ³Ô¹ÏºÚÁÏÍø gives you plenty of reasons to join our ³Ô¹ÏºÚÁÏÍø. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, ³Ô¹ÏºÚÁÏÍø is always working life forward for you and your family.

“³Ô¹ÏºÚÁÏÍø is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.â€

– Cecily
Member of ³Ô¹ÏºÚÁÏÍø

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