Member Rights

It is Important to Know Your Rights

  • Right to Get Information: You have the right to know about your health plan and services available to you.
  • Right to Choose Providers: You can choose your doctors and healthcare providers from those that accept Medicaid.
  • Right to Fair Treatment: You should be treated fairly and not discriminated against because of race, gender, or disability.
  • Right to Privacy: Your personal health information should be kept private and safe.
  • Right to Appeal Decisions: If your service is denied or if you're unhappy with your care, you can appeal the decision.
  • Right to Get Care Quickly: You should receive healthcare services in a timely manner, especially if it’s urgent.
  • Right to Help with Understanding: You can get help to understand your rights and how to use your Medicaid benefits.
  • Right to Participate: You have the right to be involved in decisions about your healthcare and treatment plans.
  • Right to Receive Services: You should get all the services covered by Medicaid that you need.
  • Right to Report Problems: You can report any problems or complaints about your care or the service you receive.

Knowing your rights is important because it:

  • Ensures You Get Care: It helps you make sure you receive the health services you need.
  • Empowers You: When you know your rights, you can speak up for yourself if something isn’t right.
  • Helps You Make Better Choices: It allows you to choose the best doctors and services for you.
  • Protects Your Privacy: It keeps your personal health information safe.
  • Helps You Fight Denials: If your care is denied, knowing your rights lets you appeal and ask for what you need.
  • Improves Your Health: Understanding your rights can lead to better care and better health outcomes.

These rights help ensure you receive the care you need and deserve.

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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