There is much discussion focused on the rights that consumers have as members of managed care health plans. However, consumers also have certain responsibilities. Knowing and accepting your role as a health plan member will help ensure the system works for you.
Member Responsibilities
- To become informed about the benefits provided by your plan and procedures for receiving health care services.
- To provide, to the extent possible, information that your doctor and the plan´s professional staff need to know to care for you.
- To work with your doctor(s) in the coordination of your care and follow the treatment plans of all health professionals involved in your care.
- To keep your plan informed of any changes in your personal status, including name changes, changes in who is covered (a change in marital status or number of dependents) or change of address.