Common use of Member Rights and Responsibilities Clause in Contracts

Member Rights and Responsibilities. As a PIC member, you have the following rights and responsibilities: 1. A right to receive information about PIC, its services, its participating providers and your member rights and responsibilities. 2. A right to be treated with respect and recognition of your dignity and right to privacy. 3. A right to available and accessible services, including emergency services, 24 hours a day, 7 days a week. 4. A right to be informed of your health problems and to receive information regarding treatment alternatives and risks that are sufficient to assure informed choice. 5. A right to participate with providers in making decisions about your health care. 6. A right to a candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage. 7. A right to refuse treatment. 8. A right to privacy of medical, dental and financial records maintained by PIC and its participating providers in accordance with existing law. 9. A right to voice complaints and/or appeals about PIC policies and procedures or care provided by participating providers. 10. A right to file a complaint with PIC and the Department of Commerce and to initiate a legal proceeding when experiencing a problem with PIC or its participating providers. For information, contact the Minnesota Department of Commerce at 651.539.1600 or 0.000.000.0000 and request information. 11. A right to make recommendations regarding XXX’s member rights and responsibilities policies. 12. A responsibility to supply information (to the extent possible) that participating providers need in order to provide care. 13. A responsibility to supply information (to the extent possible) that PIC requires for health plan processes such as enrollment, claims payment and benefit management, and providing access to care. 14. A responsibility to understand your health problems and participate in developing mutually agreed-upon treatment goals to the degree possible. 15. A responsibility to follow plans and instructions for care that you have agreed on with your providers. 16. A responsibility to advise PIC of any discounts or financial arrangements between you and a provider or manufacturer for health care services that alter the charges you pay.