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CareFirst BlueCross BlueShield / CareFirst BlueChoice
Members' Rights and Responsibilities Statement
- Members have a right to be treated with respect and recognition of their dignity and right to privacy.
- Members have a right to receive information about the health Plan, its services, its practitioners and providers, and members' rights and responsibilities.
- Members have a right to participate with practitioners in decision making regarding their health care.
- Members have a right to a candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage.
- Members have a right to make recommendations regarding the organization's members' rights and responsibilities policies.
- Members have a right to voice complaints or appeals about the health Plan or the care provided.
- Members have a responsibility to provide, to the extent possible, information that the health Plan and its practitioners and providers need in order to care for them.
- Members have a responsibility to understand their health problems and participate in developing mutually agreed upon treatment goals to the degree possible.
- Members have a responsibility to follow the plans and instructions for care that they have agreed on with their practitioners.
- Members have a responsibility to pay member copayments or coinsurance at the time of service.
- Members have a responsibility to be on time for appointments and to notify practitioners/providers when an appointment must be canceled.
To request a paper copy of the Members' Rights and Responsibilities, call the Member Services phone number on your ID card.
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