What a Member Can Expect

Member Rights & Responsibilities

  • Members have a right to be treated with respect, dignity, courtesy and fairness. 
  • Members have the right of easy access to the program and to privacy and confidentiality. This includes evaluation and referral in a timely fashion to a practitioner familiar with the aspects of your problem. 
  • Members have a right to complete, clear and concise information about their program benefits as well as the program’s services, practitioners and clinical guidelines. 
  • Members have the right to notification of their rights and responsibilities under the program, and to make recommendations about these policies. 
  • Members have a right to participate in decision making and treatment planning. 
  • Members have a right to a candid discussion of appropriate or medically necessary treatment options for their condition or problem, regardless of cost or benefit structure or coverage. 
  • Members have a responsibility to provide needed information, to the extent possible, to the program and its practitioners in order to provide care for the member. 
  • Members have a responsibility to understand their behavioral health problem, to participate in treatment planning, and to follow the plans and instructions for care that they have agreed to with their practitioner. 
  • Members have the right to voice complaints or appeals about the program or the care provided.