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- Members have a right to receive information about the organization, its
services, its practitioners and providers, and rights and responsibilities.
- Members have a right to be treated with respect and recognition of their
dignity and right to privacy.
- Members have a right to participate with practitioners in making decisions
about their health care.
- Members have a right to a candid discussion of appropriate or medically
necessary treatment options for their conditions, regardless of cost or benefit coverage.
- Members have a right to voice complaints or appeals about the organization or
the care it provides, without discrimination (including cancellation of contract) solely
on the grounds that the member filed a complaint.
- Members have a right to make recommendations regarding the organizations
Rights and Responsibilities policies.
- Members have a responsibility to supply information (to the extent possible)
that the organization and its practitioners and providers need in order to provide care
- Members have the responsibility to follow plans and instructions for care that
they have agreed on with their practitioners.
- Members have the responsibility to understand their health problems and
participate in developing mutually agreed upon treatment goals to the degree possible.
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