To be treated with fairness, respect, dignity, and consideration for privacy; including protection from release of any information that identifies them to anyone other than those having an “identified need for the information.”
To the privacy of their medical records and personal health information. To have health and medical records, as well as any other information, treated with confidentiality, regardless of the format of that information (i.e., spoken communications, written materials, electronic records, or facsimiles).
To have access to their medical records in accordance with law.
To be free from discrimination based on race, ethnicity, national origin, religion, sex, age, mental or physical disability, sexual orientation, genetic information, or source of payment.
To see plan providers and get covered services within a reasonable period of time. To have services accessible and available to them.
To access emergency health care services without prior authorization.
To choose providers for both primary and specialty care, from among those affiliated with Champion Health Plan and/or the participating Medical Group and to refuse care from any specific providers.
To know treatment choices and participate in decisions about their health care.
To use an advance directive (such as a living will or a power of attorney).
To choose a representative to facilitate care or treatment decisions, including withholding resuscitative services or to forgo or withdraw life-sustaining treatment, when they are unable to do so.
To receive information on available treatment options (including the option of no treatment) or alternative courses of care in a language they understand.
To make complaints and obtain a prompt resolution of issues (including complaints, grievances or appeals) relating to authorization, coverage, or payment of services.
To get information about their health care coverage and costs.
To get information about Champion Health Plan and their Medical Group and any contracted providers.
To get more information about their rights.
Member Responsibilities
Champion Health Plan members have the responsibility:
To become familiar with their coverage and the rules that must be followed to get care as a member.
To give doctors and other health care providers the information they need to provide health care.
To pay any applicable copayment, deductible, co-insurance or charge for non-covered services when requested by their Champion Health Plan/Medical Group physician.
To act in a way that supports the care given to other patients and helps the smooth running of the doctor’s office, hospital, and other offices.
To let us know if they have any questions, concerns, or suggestions.
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