Common use of Member Rights and Responsibilities Clause in Contracts

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Pocket Costs, and an explanation of your financial responsibilityfor services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided , and to contact regulatory bodies about the Plan. • • Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the right to a second level of Appeal with the Plan; and the r ight to contact the Insurance Department listed on the cover of this Agreement. • • Receive detailed information about which services require Prior Approval and how to reques t Prior Approval. • • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • Have a Member Representative help you follow your responsibilities and exercise your rights underthe Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he Plan and to your Providers in order to provide care . • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif you have made arrangements with a third party to make such payments. • Notify the Plan if you have any other insurance coverage. As a Member of t he Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - in-network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Out-of-Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. in a manner that respects your privacy and dignity. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • Make recommendations regarding the Plan’s Member Rights and Responsibilities policies. • Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. manner. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • Adequate access to Providers near your home or work within the Plan’s Service Area. • Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • Have access to a current list of Network Providers in the Plan’s network. SAMPLE • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he the Plan and to your Providers in In order to provide care care. • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. • Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - network in‐network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Pocket Out‐of‐Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • Make recommendations regarding the Plan’s Member Rights and Responsibilities policies. • Receive appropriate assistance from Community Health Options in a prompt, courteous, and responsible xxxxx x. manner. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • Adequate access to Providers near your home or work within the Plan’s Service Area. • Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • Have access to a current list of Network Providers in the Plan’s network. • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he the Plan and to your Providers in In order to provide care care. • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. • Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns concerns, or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: •  Detailed information about the Organization and our services. •  Detailed information about our in - in-network providers and facilities. •  Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. •  Information about your Out - of- Out-of-Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. •  Be treated with respect and recognition of your dignity and your right to privacy. in a manner that respects your privacy and dignity. We will follow applicable laws and our policies when we handle your information. •  Participate with your Providers in making decisions about your health care. •  Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • •  Make recommendations regarding the Plan’s Member Rights and Responsibilities policies.  Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. • manner.  Be promptly informed of termination or changes in Benefits, services, or Network Providers. •  Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • •  Adequate access to Providers near your home or work within the Plan’s Service Area.  Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • •  Have access to a current list of Network Providers in the Plan’s network. SAMPLE  A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. •  Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: •  Provide honest and complete information to t he the Plan and to your Providers in In order to provide care care. •  Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. •  Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. •  Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. •  Pay your applicable Deductible, Coinsurance and Copayment amounts. •  Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. •  Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. •  Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: •  Read and understand the information that you receive about your Plan. •  Know how to properly access coverage and utilize your Plan. •  Understand your health problems and participate in developing treatment goals that you agree to with your Providers. •  See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. •  Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. •  Follow plans and instructions for care that you have agreed to with your Provider. •  Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: •  Detailed information about the Organization and our services. •  Detailed information about our in - in-network providers and facilities. •  Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. •  Information about your Out - of- Out-of-Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. •  Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. •  Participate with your Providers in making decisions about your health care. •  Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • •  Make recommendations regarding the Plan’s Member Rights and Responsibilities policies.  Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. • manner.  Be promptly informed of termination or changes in Benefits, services, or Network Providers. •  Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • •  Adequate access to Providers near your home or work within the Plan’s Service Area.  Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • •  Have access to a current list of Network Providers in the Plan’s network.  A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • SAMPLE  Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: •  Provide honest and complete information to t he the Plan and to your Providers in order to provide care care. •  Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. •  Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. •  Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. •  Pay your applicable Deductible, Coinsurance and Copayment amounts. •  Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. •  Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. •  Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: •  Read and understand the information that you receive about your Plan. •  Know how to properly access coverage and utilize your Plan. •  Understand your health problems and participate in developing treatment goals that you agree to with your Providers. •  See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. •  Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. •  Follow plans and instructions for care that you have agreed to with your Provider. •  Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - in-network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Out-of-Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • Make recommendations regarding the Plan’s Member Rights and Responsibilities policies. • Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. manner. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • Adequate access to Providers near your home or work within the Plan’s Service Area. • Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • Have access to a current list of Network Providers in the Plan’s network. • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he the Plan and to your Providers in In order to provide care care. • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. SAMPLE • Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - in-network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Out-of-Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • Make recommendations regarding the Plan’s Member Rights and Responsibilities policies. • Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. manner. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • Adequate access to Providers near your home or work within the Plan’s Service Area. • Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • Have access to a current list of Network Providers in the Plan’s network. • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he the Plan and to your Providers in order to provide care care. • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. • Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. SAMPLE • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - network in‐network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Pocket Out‐of‐Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • Make recommendations regarding the Plan’s Member Rights and Responsibilities policies. • Receive appropriate assistance from Community Health Options in a prompt, courteous, and responsible xxxxx x. manner. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • Adequate access to Providers near your home or work within the Plan’s Service Area. • Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • Have access to a current list of Network Providers in the Plan’s network. • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. • Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he the Plan and to your Providers in order to provide care care. • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. • Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.

Member Rights and Responsibilities. As a Member of the Plan, you have the following rights: You have a right to: • Detailed information about the Organization and our services. • Detailed information about our in - in-network providers and facilities. • Detailed information about Benefits and services that are covered under or excluded from the Plan, and all requirements that must be followed for Prior Approval. • Information about your Out - of- Out-of-Pocket Costs, and an explanation of your financial responsibilityfor responsibility for services provided to you. • Be treated with respect and recognition of your dignity and your right to privacy. We will follow applicable laws and our policies when we handle your information. • Participate with your Providers in making decisions about your health care. • Voice complaints or file Appeals with the Plan or the care provided provided, and to contact regulatory bodies about the Plan. • Make recommendations regarding the Plan’s Member Rights and Responsibilities policies. • Receive appropriate assistance from Health Options in a prompt, courteous, and responsible xxxxx x. manner. • Be promptly informed of termination or changes in Benefits, services, or Network Providers. • Receive an explanation of why a Benefit is denied; the opportunity to Appeal the denial decision;the decision; the right to a second level of Appeal with the Plan; and the r ight right to contact the Insurance Department listed on the cover of this Agreement. • Adequate access to Providers near your home or work within the Plan’s Service Area. • Receive detailed information about which services require Prior Approval and how to reques t request Prior Approval. • Have access to a current list of Network Providers in the Plan’s network. • A candid discussion of appropriate or medically necessary treatment options for your conditions regardless of cost or benefit coverage. SAMPLE • Have a Member Representative help you follow your responsibilities and exercise your rights underthe under the Plan. SAMPLE As a Member of the Plan, you have the following responsibilities (that you must do): You have a responsibility to: • Provide honest and complete information to t he the Plan and to your Providers in order to provide care care. • Notify the Plan of any errors or omissions in your account upon discovery in a timely manner. • Choose a Network Primary Care Provider (PCP) for yourself and any Dependents. • Present your Member identi fication identification card before you receive care or, in emergency situations, after you receive care. • Pay your applicable Deductible, Coinsurance and Copayment amounts. • Inform the Plan of any changes in family size, address, phone number, or Member eligibility statusin status in a timely manner. • Make Premium payments on time and to understand the premium payment grace periods, evenif even if you have made arrangements with a third party to make such payments. • Notify the Plan if you have any other insurance coverage. As a Member of t he the Plan, we strongly suggest that you also: • Read and understand the information that you receive about your Plan. • Know how to properly access coverage and utilize your Plan. • Understand your health problems and participate in developing treatment goals that you agree to with your Providers. • See your Primary Care Provider or an appropriate Specialist at least once per year, if you have a chronic medical condition, so s/ s/he can evaluate your condition and provide updates to your treatment plan as needed. • Express your opinions, concerns or complaints in a constructive way to the Plan or to your Provider. • Follow plans and instructions for care that you have agreed to with your Provider. • Transition to Medicare or Medicaid plans when you are eligible for coverage under these plans.