I. Information
Disclosure
You have the right to receive accurate and
easily understood information about your health plan, health
care professionals, and health care facilities. If you speak
another language, have a physical or mental disability, or just
don’t understand something, assistance will be provided so you
can make informed health care decisions.
II. Choice of Providers
and Plans
You have the
right to a choice of health care providers that is sufficient to
provide you with access to appropriate high-quality health care.
III. Access to Emergency
Services
If you have
sever pain, an injury, or sudden illness that convinces you that
your health is in serious jeopardy, you have the right to
receive screening and stabilization emergency services whenever
and wherever needed, without prior authorization or financial
penalty.
IV. Participation in
Treatment Decisions
You have the
right to know all your treatment options and to participate in
decisions about your care. Parents, guardians, family members,
or other individuals that you designate can represent you if you
cannot make your own decisions.
V. Respect and
Nondiscrimination
You have a right
to considerate, respectful and nondiscriminatory care from your
doctors, health plan representatives, and other health care
providers.
VI. Confidentiality of
Health Information
You have the
right to talk in confidence with health care providers and to
have your health care information protected. You also have the
right to review and copy your own medical record and request
that your physician amend your record if it is not accurate,
relevant, or complete.
VII. Complaints and
Appeals
You have the
right to a fair, fast, and objective review of any compliant you
have against your health plan, doctors, hospitals or other
health care personnel. This includes complaints about waiting
times, operating hours, the conduct of health care personnel,
and the adequacy of health care facilities. |
The right to protection from discrimination in
marketing and enrollment practices.
