Healthy Options
Basic Health
Healthy Options Member Responsibilities: [ Back to top ]
YOU ARE RESPONSIBLE TO:
- call your PCP or other provider 24 hours in advance if you will miss or be late for an appointment. Your appointment time can be given to someone else who needs to be seen.
- bring your CUP ID Card and your DSHS Medical ID Card to all your appointments and to the pharmacy.
- notify the local DSHS offi ce and CUP when you move.
- choose your PCP within the fi rst 30 days of your eligibility with CUP (or one will need to be chosen for you).
- treat your providers and their staff with respect.
- talk to your provider about your medical problems, to give your provider the information they need to give you quality care, and to ask questions about anything that you do not understand.
- help your new PCP get your family’s past medical records.
- ask for approval from your PCP before you go to a
specialist.
- follow the instructions for care that you and your provider have agreed upon.
- get medical care from your PCP. In a life-threatening emergency go to the nearest emergency room.
- see your PCP for follow-up care after your emergency room visit.
- provide CUP with any information concerning other health insurance coverage.
- report any accidents or injuries to CUP.
- know your PCP’s name and telephone number, which are on your CUP ID Card.
- let your PCP know ahead of time if you need interpreter services.
Healthy Options Member Rights: [
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YOU HAVE THE RIGHT TO:
- refuse treatment and
to be told what may happen if you refuse.
- understand all your treatment options and alternatives before you get care.
- have a language interpreter or an interpreter for deaf and hearing impaired for
your medical visits and dealing with your plan.
- receive medically necessary care without discrimination of any kind 24 hours
a day and 7 days a week.
- get a second opinion from another provider in your plan whenever you want one.
Call CUP if you want a second opinion, we will help you get one.
- file an appeal or complaint about your plan or providers and receive a timely
answer.
- get information about covered medical services. You may choose to pay for services
not covered by your plan.
- get information about CUP at least once per year, or whenever you ask.
- be treated with respect by your provider and CUP.
- talk to your provider and expect that your records and what you say will be kept
private.
- be included in making decisions about your health care.
- be informed about Advance Directives and make anatomical gifts.
- request copies of CUP’s policies, procedures, or practice guidelines at any time
by calling our Member Services Department.
- contact CUP to recommend changes in CUP policies and procedures at (360) 891-1520
or (800) 315-7862, TDD (360) 449-8860 or (866) 287-9962.
- change your PCP at any time.
- know about possible side effects of your care and to give your consent before
you get care.
- be free from any form of restraint or seclusion used as coercion, discipline,
convenience or retaliation.
- exercise these rights without any affect to your benefi ts or adverse treatment.
- request and receive a copy of your medical records and to request they be amended
or corrected.
Basic Health Member Rights [
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As a Basic Health member, you have the right to:
Basic Health Member Responsibilities [
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As a Basic Health member, you have the right to:
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