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Rights and Responsibilities
You have the right to be provided with information on your health plan, its services, the practitioners and providers providing care and your rights and responsibilities in clear, understandable language.
You have the right to receive medically necessary care that is covered under your benefit plan and is provided or arranged by your healthcare provider.
You have the right to be informed by your healthcare provider about your diagnosis, treatment options and prognosis in clear, understandable language.
You have the right to participate with practitioners when making decisions regarding your healthcare.
You have the right to refuse treatment.
You have the right to be treated with respect and recognition of your dignity and right to privacy.
You have the right to the confidentiality of information concerning your medical treatment.
You have the right to express verbal or written complaints about Blue Cross/HMO Louisiana or the medical care provided, and to a timely response when appropriate.
You have the right to a candid discussion of all appropriate, medically necessary options for your condition(s), regardless of cost or benefit coverage
You have the right to know how your physician and other healthcare professionals are compensated by Blue Cross/HMO Louisiana.
You have the right to make recommendations to your health plan on its member rights and responsibilities policy.
You are responsible for reading and understanding all material concerning your health benefits.
You are responsible for complying with all terms of membership with your health plan.
You are responsible for developing and maintaining a satisfactory physician-patient relationship.
You are responsible for following instructions and guidelines as agreed upon by you and your healthcare provider.
You are responsible for engaging in a healthy lifestyle and in safety practices.
You are responsible for providing, to the extent possible, complete and accurate information that Blue Cross/HMO Louisiana and its practitioners and providers need in order to care for you.
You are responsible for making and keeping appointments, or canceling in advance if unable to make your appointment.
You are responsible for paying copayment and/or coinsurance amounts required under your health plan.
You are responsible for notifying your employer or Blue Cross of any other healthcare coverage of which you are a beneficiary, and for cooperating in coordinating benefits.
You are responsible for understanding your health conditions and participate in developing mutually agreed-upon treatment goals, to the degree possible.