Page 26 - Commercial Group Member Guidebook

Rights and Responsibilities

KNOWING YOUR RIGHTS IS IMPORTANT. RELY ON YOUR MEMBERSHIP AGREEMENT/
CERTIFICATE OF COVERAGE FOR COMPLETE PLAN INFORMATION.

As a member of a ConnectiCare Plan, you have a right to:
• Receive information about us, our services, our participating providers, and Members’
Rights and Responsibilities.
• Be treated with respect and recognition of your dignity and right to privacy.
• Participate with practitioners in decision-making regarding your health care.
• A candid discussion of appropriate or medically necessary treatment options for your condition,
regardless of cost or benefit coverage.
• Refuse treatment and to receive information regarding the consequences of such action.
• Voice complaints or appeals/grievances about us, or the care you are provided.
• Make recommendations regarding our Members’ Rights and Responsibilities policies.

ConnectiCare members have the following responsibilities:
• Select a Primary Care Provider (PCP).
• Provide, to the extent possible, information providers need to render care and information we need
to provide coverage.
• Follow the plans and instructions for care that you have agreed on with practitioners.
• Keep scheduled appointments or give sufficient advance notice of cancellation.
• Pay applicable copayments, deductibles or coinsurance.
• Follow the rules of the plan, and assume financial responsibility for not following the rules.
• Understand your health problems and participate in developing mutually agreed upon treatment
goals to the degree possible.
• Be considerate of our providers, and their staff and property, and respect the rights of other patients.
• Be considerate of our employees by treating them with respect and dignity.
• Read the Membership Agreement/Certificate of Coverage describing the plan’s benefits
and rules.

At ConnectiCare, we protect your confidential information,
whether it’s recorded, printed or electronically transferred.

24