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Member Rights and Responsibilities

HealthPlus of Michigan is committed to treating its members in a manner that respects their rights and addresses their responsibility for cooperating with HealthPlus staff and affiliated providers.


HealthPlus of Michigan recognizes the following rights of its members:
 

To be treated with respect and to have their dignity and personal privacy recognized.

To receive advice or assistance in a prompt, courteous and responsible manner.

To receive information about HealthPlus, their rights and responsibilities as a member, their health care benefits and the participating physicians. and other affiliated health care providers from whom they receive care.

To express a complaint and/or grievance about HealthPlus or about care they have received, and to receive a response to the complaint and/or grievance within a reasonable period of time.

For HMO members, to change primary care physicians for any reason, to be effective on the first day of the month following notification to HealthPlus.

To participate in decisions involving their health care.

To participate in a candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage.

To refuse treatment and to be informed of the probably consequences of their actions.

To be assured of confidential health records except when disclosure is required by law or permitted in writing by them. With adequate notice, they have the right to review their medical records with their primary care physician.

To make recommendations regarding the members’ rights and responsibilities policy.


HealthPlus of Michigan recognizes the following responsibilities of its members:

To treat all HealthPlus and affiliated provider personnel and other members respectfully and courteously.

For HMO members, to select a primary care physician upon enrolling with HealthPlus.

To keep scheduled appointments or give adequate notice of delay or cancellation.

To provide information that HealthPlus, participating physicians and other health care providers need in order to provide health care benefits and to care for them.

To be honest and complete when providing information to the treatment staff, including a complete and accurate medical history and any complications that may arise in the course of treatment.

To follow the recommendations and advice they agreed to with the treatment staff concerning their care and to consider the potential consequences if they refuse to comply.

To participate in understanding their health problems and developing mutually agreed-upon treatment goals.

To express their opinions, concerns or complaints in a constructive manner to the appropriate people within HealthPlus or the affiliated provider network.

 

If you would like additional information on HealthPlus Member Rights and  Responsibilities or would like a copy of this document, please contact HealthPlus Customer Service.