Member Responsibilities
Your responsibility to supply information (to the extent possible) that the organization and its practitioners and providers need in order to provide care:
- You have a responsibility to give complete and correct facts to your practitioners, providers, and Community Health Plan about your health history, current health status, and changes in your symptoms.
- You have a responsibility to let us know if you have a living will or a durable power of attorney for health care. For more information, see Advance Directives.
- You have a responsibility to tell us about your suggestions for improvements, concerns, and complaints.
Your responsibility to understand your health problems and participate in developing mutually agreed upon treatment goals, to the degree possible:
- You have a responsibility to, as much as possible, understand your health problems and work with your providers to create treatment goals you agree on.
- You have a responsibility to make informed decisions about treatments and procedures before they are performed.
- You have a responsibility to accept the risks of refusing treatment.
- You have a responsibility to get permission from your PCP before going to a specialist.
Your responsibility to follow plans and instructions for care that you have agreed to with your practitioners:
- You have a responsibility to follow the treatment plans and instructions for care that you and your provider agree on.
- You have a responsibility to tell your provider if you do not understand your treatment plan or if you believe you cannot follow through with it.
Your responsibility to treat your providers and staff with respect:
- You have a responsibility to treat health care professionals, staff, other members, and the health care provider’s property in a kind and respectful manner.
- You have a responsibility to make and keep appointments. Tell your PCP if you are going to be late or if you need to cancel an appointment.
- You have a responsibility to identify yourself as a member of the Community Health Plan when you seek care. Carry your identification card and your child's identification card with you.
- You have a responsibility to get medical services through your PCP, except in an emergency or when your PCP recommends a specialist.
- You have a responsibility to call Community Health Plan if you do not understand how your health plan works or if you have questions about your coverage.
Note: Your provider’s office offers additional rights and responsibilities, which are posted in your health center or clinic.