Carefirst blue cross blue shield patients rights pdf

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Members have a right to make recommendations regarding the organization's members' rights and responsibilities policies. Members have a right to voice complaints or appeals about the health Plan or the care provided.

Members have a responsibility to provide, to the extent possible, information that the health Plan and its practitioners and providers need in order to care for them. Members have a responsibility to understand their health problems and participate in developing mutually agreed upon treatment goals to the degree possible. Members have a responsibility to follow the plans and instructions for care that they have agreed on with their practitioners.

Members have a responsibility to pay member copayments or coinsurance at the time of service. Eligible Individuals' Rights Statement Wellness and Health Promotion Services Eligible individuals have a right to receive information about the organization, including wellness and health promotion services provided on behalf of the employer or plan sponsors; organization staff and staff qualifications; and any contractual relationships.

Eligible individuals have a right to decline participation or disenroll from wellness and health promotion services offered by the organization. Eligible individuals have a right to be treated courteously and respectfully by the organization's staff.

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Machine-Readable Files Content for the Transparency in Coverage Final Rule As required by the Transparency in Coverage Final Rule, plans and issuers are required to publicly display in-network provider negotiated rates, historical out-of-network and allowed amounts through Machine-Readable Files on an internet website.

In accordance with this mandate, the following files are available for use: No.