Rights and Responsibilities

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.

You have the right to:

  • Receive information about the organization, its services, its practitioners and providers and member rights and responsibilities
  • Be treated with respect and recognition of your dignity and your right for privacy
  • Participate with practitioners in making decisions about your health care
  • A candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage
  • Voice complaints or appeals about the organization or the care it provides
  • Make recommendations regarding the organization’s member rights and responsibilities policy

You are expected to:

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