Alliance Member Rights and Responsibilities

Rights
  • To get information or questions answered about the Health Right Alliance program and the network providers delivering services
  • To be treated with respect by the care team
  • To understand an illness
  • To have the care team explain about the treatment and choices before treatment occurs
  • To refuse treatment or care from specific providers
  • To know that conversations with the care team will be confidential
  • To choose an eligible provider from within the network
  • To obtain medical services without delay
  • To be able to make a complaint and expect a prompt answer
  • To be able to switch providers
  • To participate in decision making about your care
  • To have access to your medical records
  • To receive a copy of Health Right's member handbook upon request
  • To offer advice about the Member Rights and Responsibility Policy
  • To receive interpretation and translation services


Responsibilities
  • To follow Health Right Alliance rules
  • To seek medical care from an authorized Health Right Alliance provider
  • To keep Health Right Alliance informed with correct pertinent information such as change of address and phone number
  • To follow instructions & guidelines given by those providing health care services
  • To understand the consequences of not following a treatment plan
  • To fully inform the care team about medical and personal problems required to treat your health care needs
  • To assist Health Right Alliance in getting previous medical records from providers
  • To not seek care from specialists unless it has been authorized by the primary care provider
  • To not seek routine medical care from an Emergency Room
  • To treat the care team with respect
  • To express complaints, concerns and opinions in a polite manner


"An accreditation status of 'Commendable' from NCQA is a sign that a health plan is awarded to plans whose service and clinical quality meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement."

Margaret E. O'Kane
President of NCQA