PartnershipAdvantage - Member Rights and Responsibilities Statement

A Member shall have the Right to:

Receive dignified, courteous and considerate treatment;
Receive health care services without discrimination based on race, ethnicity, national origin, religion, sex, age, mental or physical disability, sexual orientation, genetic information, or source of payment;
Receive clinical and non-clinical services in accordance with PartnershipAdvantage policies;
Receive information in a language that he/she understands;
Be informed of all health services available to him/her including access to Emergency Services;
Receive notice, if affected by a Provider that is no longer contracted with PartnershipAdvantage;
Know and understand his/her medical problem and treatment plan;
Be fully informed of all procedures including procedures for Complaints, Appeals, and Grievances;
Be fully informed of all procedures for service authorization, quality assurance programs, disenrollment, and other procedures that may affect his/her access to care;
Select a Primary Care Provider (PCP) from a panel and request relevant credentialing information regarding a PCP;
Question his/her medical treatment and participate in decisions regarding the treatment plan including the option to refuse care;
A Second Opinion;
Receive information regarding Advance Directives; and
Access his/her medical records and have the confidentiality of his/her medical records protected.

Learn about his/her medical condition and what keeps him or her healthy;
Actively participate in the health care programs that keep him/her well;
Inform his/her PCP of his/her medical condition;
Follow the treatment plan prescribed by his/her physician;
Make and keep appointments for check-ups when he/she is sick and inform the physician's office when he/she must cancel an appointment; and
Carefully review, understand, and follow the guidelines in the PartnershipAdvantage Member Handbook/Evidence of Coverage (EOC) provided to all members.