Members' Rights and Responsibilities

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.