To be treated with respect
and to have their dignity and personal privacy recognized.
To receive advice or assistance in a prompt, courteous
and responsible manner.
To receive information about their managed care organization,
their rights and responsibilities as a member, their
health care benefits and the participating physicians.
and other affiliated health care providers from whom
they receive care.
To express a complaint about HealthPlus or about
care they have received and to receive a response
to the complaint within a reasonable period of time.
To change primary care physicians for any reason,
to be effective on the first day of the month following
notification to HealthPlus.
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To participate in decisions
involving their health care.
To participate in a candid discussion of appropriate
or medically necessary treatment options for their
conditions, regardless of cost or benefit coverage.
To refuse treatment and to be informed of the probably
consequences of their actions.
To be assured of confidential health records except
when disclosure is required by law or permitted in
writing by them. With adequate notice, they have the
right to review their medical records with their primary
care physician.
To make recommendations regarding the members’ rights
and responsibilities policy. |
To treat all HealthPlus and affiliated provider personnel
and other members respectfully and courteously.
To select a primary care physician upon enrolling
with HealthPlus.
To keep scheduled appointments or give adequate notice
of delay or cancellation.
To provide information that the managed care organization,
participating physicians and other health care providers
need in order to provide health care benefits and
to care for them.
To be honest and complete when providing information
to the treatment staff, including a complete and accurate
medical history and any complications that may arise
in the course of treatment. |
To follow the recommendations and advice they agreed
to with the treatment staff concerning their care and
to consider the potential consequences if they refuse
to comply.
To participate in understanding their health problems
and developing mutually agreed-upon treatment goals.
To express their opinions, concerns or complaints
in a constructive manner to the appropriate people
within HealthPlus or the affiliated provider network.
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HealthPlus
of Michigan is committed to treating its members in
a manner that respects their rights and addresses their
responsibility for cooperating with HealthPlus staff
and affiliated providers.