Coronavirus/COVID-19: Frequently Asked Questions

Member Rights and Responsibilities

As a Medicare member of our plan, you have the right to:

  1. Be treated with respect, and not be discriminated against based on race, ethnicity, national origin, disability, religion, gender or age.
  2. We must provide information in a way that works for you (in languages other than English, in Braille, in large print, or other alternate formats, etc.)
  3. Receive timely access to network providers and prescription drugs, including emergency care services, 24 hours a day, seven days a week.
  4. Protect the privacy of your personal health information.
  5. Get information about the plan, its network of providers and your covered services.
  6. Know all your treatment options and participate fully in discussions and decisions about your health care.
  7. Refuse any treatment recommended to you by any provider.
  8. File a complaint, ask for a coverage decision, or ask us to reconsider decisions we have made.
  9. Get help if you believe you are being treated unfairly or your rights have not been respected.

As a Medicare member of our plan, you have the responsibility to:

  1. Tell your doctor and other health care providers that you are enrolled in our plan.
  2. Get familiar with your covered services and the rules you must follow to get these covered services.  
  3. Tell your doctor and other health care providers that you are enrolled in our plan.
  4. Tell us if you have any other insurance coverage or prescription drug coverage in addition to our plan.
  5. Be considerate. We expect all our members to respect the rights of other patients.
  6. Pay what you owe. Pay what you are responsible for paying, your co-pays, co-insurance, and premiums,
  7. Tell us if you move. If you move outside the plan’s service area, you cannot remain a member of our plan.
  8. Help your doctors and other providers help you by giving them the necessary information, asking questions and following through on your care.
  9. Practice preventive care by having the appropriate texts and immunizations and engaging in healthy lifestyle choices (e.g., exercise, diet).