Your Rights and Responsibilities as a Plan Member

BlueCross BlueShield of Tennessee wants you to have the personalized, quality health care you deserve. For that to happen, it is important that you understand how your health plan works, and that you become involved and informed about the care you receive. As a plan member, you have certain rights, responsibilities, and expectations. By understanding and upholding these rights and responsibilities, you will help us arrange and coordinate the type of care you deserve.

Youhave the right to:

  • Be treated with respect and dignity and need for privacy
  • Receive information about policies and services ofyourplan network, including structure, operation, quality improvement activities , practitioners and providers, and member rights and responsibilities
  • Participate with practitioners in the decision-making regarding your health care
  • Voice complaints or appeals about the organization or the care it provides
  • A candid discussion of appropriate medically necessary treatment options for your condition, regardless of cost or benefit coverage
  • Make recommendations regarding the organization's member rights and responsibilities policy

Youare expected to:

  • Provide, to the extent possible, all information that the organization and its practitioners and providers need in order to provide care
  • Follow plans and instructions for care that they have agreed to with their practitioners
  • Understand their health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible

 

12/6/2011