秋葵app

Member Rights

As a member of 秋葵app you have the following rights:

• To get information about 秋葵app, its services, providers, and member rights and duties.
• To get all services that 秋葵app must provide
• To be treated with respect and with regard for your dignity and privacy.
• To be sure your personal information and medical records are kept private.
• To be given information about your health. This may also be available to someone legally authorized. It may be given to someone you said should be reached in an emergency.
• To discuss information on any appropriate or medically necessary treatment options and alternatives for your condition, regardless of cost or benefit coverage, in a manner appropriate to your condition and ability to understand.
• To work with providers  for your health care decisions, including the right to refuse treatment.
• To get information about any medical care in a way you can understand.
• To be sure that others cannot hear or see you while you are getting medical care.
• Be free from any form of restraint or seclusion as a means of coercion, discipline, convenience or retaliation, as specified in federal regulations on the use of restraints and seclusion.
• To ask for and get a copy of your medical records. And to be able to ask that the record be changed/corrected if needed in accordance with federal privacy law.
• The right to ask at any time, information on our physician incentive plan, marketing materials or information about the structure and operation of 秋葵app.
• To be able to say yes or no to having any of your information given out unless 秋葵app has to by law.
• To be able to say no to treatment or therapy. If you or your parent/guardian say no, the doctor or 秋葵app must talk to you about what could happen. A note must be placed in your medical record about refusing care.
• To freely be able to file an appeal, a grievance (complaint), or ask for a state fair hearing and that the exercise of these rights will not adversely affect the way  you are
• To be able to get all written member information from 秋葵app:
  • At no cost to you
  • In the prevalent non-English languages of members in 秋葵app’s service area
  • In other formats, to help with special needs
• To get free help from 秋葵app and its providers if you do not speak English or need help understanding information.
• To be able to get help with sign language if you are hearing impaired.
• To be told if the provider is a student and to be able to refuse his/her care.
• To get information on treatment options in a way you or your parent/guardian can understand.
• To make Advance Directives (a written record of your wishes for medical care).
• To be free to carry out your rights and know that 秋葵app, our providers, or the Georgia Department of Community Health will not hold this against you.
• To know that 秋葵app must follow all federal and state laws, and other laws about privacy that apply.
• To choose the provider that gives you care whenever possible and appropriate. 
• Female members have the right to see a women’s health provider for covered women’s health care.
• To be able to get a second opinion from a qualified network If someone is not available, 秋葵app must set up a visit with a provider not  on its panel.
• To go out of network for care if 秋葵app cannot give a covered service in network.
• To get information about 秋葵app from us.
• To make suggestions about 秋葵app’s member rights and responsibility policy.
• To only be responsible for cost sharing in accordance with federal and state regulations and contracts.
• To not be held liable for 秋葵app’s debts in the event of insolvency.
• To not be held liable for covered services provided to you for which DCH or 秋葵app does not pay the provider that gives the services.
• To not be held liable for payments of covered services furnished under a contract, referral, or other arrangement to the extent that those payments are more than what you would owe if 秋葵app provided the services directly.

Member Responsibilities

• Use only approved providers
• Keep doctor and dentist visits, be on time, and call 24 hours before to cancel.
• Follow the advice and care you have agreed to with your ID card.
• Always carry your ID. Show it when getting care.
• Never let others use your ID card.
• Tell your county caseworker and 秋葵app of a change in phone number or address.
• Contact your PCP after going to an Urgent Care or after medical or behavioral health care.
• Let 秋葵app and the county caseworker know if you are covered by other health insurance.
• Give information that 秋葵app and your health care providers need, to the extent possible, to give care.
• Tell us of suspected fraud as described in the Fraud, Waste and Abuse section.
• Understand as much as possible about your health issues and take part in reaching goals agreed to with your health care provider.

Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m.