Member's Rights and Responsibilities. The Contractor shall furnish Medicaid MHN program members with both verbal and written information about the nature and extent of their rights and responsibilities as a member of the Contractor's plan. The rights afforded to current members are detailed in MHN Policy and Procedure Guide, Members’ Bill of Rights. The written information shall be written at a reading comprehension level no higher than fourth (4th) grade, “or as determined appropriate by SCDHHS.” The minimum information shall include: the member's rights to receive written information about the Contractor's managed care plan including information on the structure and operation of the Plan; the network providers/subcontractors providing the member's health care, including information on any providers who are non-English speaking; information about the amount, duration, and scope of benefits available and how to obtain these benefits; confidentially of patient information; the right to file grievances or complaints about the Contractor and/or care provided; any restrictions on the member’s freedom of choice among network providers; the extent to which, and how, after-hours and emergency coverage are provided; and any other information that affects the member's enrollment into the Contractor's plan. The Contractor shall notify the Medicaid MHN program members at least annually following initial enrollment of their right to request and receive this information. The Medicaid MHN program members’ responsibilities shall include but are not limited to: informing the Contractor of the loss or theft of their ID card; presenting their ID card when using health care services; to be familiar with the plan’s procedures to the best of the member's abilities; and/or to call or contact the Contractor to obtain information and have questions clarified; to provide participating network providers with accurate and complete medical information; follow the prescribed treatment of care recommended by the provider or let the provider know the reasons the treatment cannot be followed, as soon as possible; and make every effort to keep any agreed upon appointments, and follow-up appointments and to access preventive care services.
Member's Rights and Responsibilities. Blue Shield does not delegate or sub-delegate member rights and responsibilities. For additional details and a full listing of these rights and responsibilities, please refer to the Provider Manual.
Member's Rights and Responsibilities. 5.1. To pay to the Provider the Membership Fee payable without any deduction in advance on for the period from the Agreement Fee Commencement Date to the end of Twelve months following such date to be made on the date of this Agreement together with such VAT as may be payable on the Membership Fee
Member's Rights and Responsibilities. The MCO demonstrates a commitment to treating members in a manner that acknowledges their rights and responsibilities.
Member's Rights and Responsibilities. The Contractor shall furnish Medicaid MCO Members with both verbal and written information about the nature and extent of their rights and responsibilities as Medicaid MCO Members of the Contractor's health plan. The rights afforded to current Medicaid MCO Members are detailed in the MCO Policy and Procedure Guide, Members’ Xxxx of Rights. The written information shall be prepared on a reading comprehension level no higher than fourth (4th) grade, or as determined appropriate by the Department. The minimum information shall include: the Medicaid MCO Member's right to receive written information about the Contractor's health plan, including information on the structure and operation of the health plan; the network Providers/Subcontractors providing the Medicaid MCO Member's health care; information about how to obtain benefits; confidentiality of patient information; the right to file grievances or complaints about the Contractor and/or care provided; information regarding advance directives as described in 42 CFR §417.436 (2009, as amended) and 42 CFR 489, Subpart I (2009, as amended) and any information that affects the Medicaid MCO Member's enrollment into the Contractor's health plan. Information regarding advance directives shall include a description of the applicable State law (Chapter 66, Section 44) and must reflect any changes in State law as soon as possible, but no later than ninety (90) calendar days after the effective date of the change. The Contractor shall provide the Medicaid MCO Member written evidence of coverage. The Medicaid MCO Members’ responsibilities shall include, but are not limited to: informing the Contractor of the loss or theft of their ID cards; presenting their ID cards when using health care services; being familiar with the Contractor’s health plan’s procedures to the best of their abilities; calling or contacting the Contractor to obtain information and have questions clarified; providing participating network Providers with accurate and complete medical information; following the prescribed treatment of care recommended by the provider or letting the Provider know the reasons the treatment cannot be followed, as soon as possible; making every effort to keep any agreed upon appointments; and accessing preventive care services.
Member's Rights and Responsibilities. Collaboration in Practice 34 ¥ All committee members have the right and responsibility to address oppressive comments and behaviours in a respectful manner with a demonstrated commitment to education.
Member's Rights and Responsibilities. The CCN shall furnish CCN members with both verbal and written information about the nature and extent of their rights and responsibilities as a member of the CCN.
Member's Rights and Responsibilities. Health Plan does not delegate or sub-delegate member rights and responsibilities. For additional details and a full listing of these rights and responsibilities, please refer to the Provider Manual.
Member's Rights and Responsibilities. A. Member Rights and Responsibilities Contractor shall develop, implement and maintain written policies that address the Member's rights and responsibilities and shall communicate these to its Members, providers, and, upon request, potential members.
Member's Rights and Responsibilities. Making the Most of Your Coverage As a member you have certain rights and responsibilities when receiving your health care. You also have a responsibility to take an active role in your care. As your health care partner, we’re committed to making sure your rights are respected while providing your health benefits. That also means giving you access to our network providers and the information you need to make the best decisions for your helath and welfare. These are your rights and responsibilities: You have the right to: • Speak freely and privately with your doctors and other health providers about all health care options and treatment needed for your condition. This is no matter what the cost or whether it’s covered under your plan. • Work with your doctors in making choices about your health care. • Be treated with respect and dignity. • Expect us to keep your personal health information private. This is as long as it follows state and • Federal laws and our privacy policies. • Get the information you need to help make sure you get the most from your health plan, and share your feedback. This includes information on: o our company and services. o our network of doctors and other health care providers. o your rights and responsibilities. o the rules of your health care plan. o the way your health plan works. • Make a complaint or file an appeal* about: o your plan o any care you get o any covered service or benefit ruling that your plan makes. *See SECTION 14, Claims Review Procedure • Say no to any care, for any condition, sickness or disease, without it affecting any care you may get in the future. This includes the right to have your doctor tell you how that may affect your health now and in the future. • Get all of the most up-to-date information from a doctor or other health care professional provider about the cause of your illness, your treatment and what may result from it. If you don’t understand certain information, you can choose a person to be with you to help you understand. You have the responsibility to: • Read and understand, to the best of your ability, all information about your health benefits or ask for help if you need it. • Follow all plan rules and policies. • Choose an in-network primary care physician (doctor), also called a PCP, if your health care plan requires it. • Treat all doctors, health care providers and staff with courtesy and respect. • Keep all scheduled appointments with your health care providers. Call their office i...
