Member's Rights and Responsibilities
- build a strong relationship with your health care providers;
- play a key role in staying healthy; and
- have a way to address your problems.
Information DisclosureYou have the right to get correct and easy to understand information about:
- your health plan;
- health care providers; and
- health care facilities.
- speak another language; or
- you have a physical or mental disability; or
- you don't understand something.
Choice of Providers and PlansYou have the right to a choice of health care providers and access to appropriate high-quality health care.
Access to Emergency ServicesYou have the right to visit an emergency room if you believe your health is in serious risk due to:
- severe pain; or
- an injury; or
- sudden illness.
- when and where needed; and
- without prior authorization.
Participation in Treatment DecisionsYou have the right:
- to know all reasonable and important treatment options; and
- to participate in decisions about your care.
- your parents;
- your guardians;
- your family members; or
Respect and NondiscriminationYou have the right to considerate, respectful, and nondiscriminatory care from your:
- health plan representatives; and
- other health care providers.
Confidentiality of Health InformationYou have the right to:
- talk in confidence with health care providers;
- have your health care information protected; and
- review and copy your own medical record.
- relevant; or
Complaints and AppealsYou have the right to a fair, fast, and objective review of any complaint you have against:
- your health plan;
- hospitals; and
- other health care staff.
- waiting times;
- operating hours;
- conduct of health care staff;
- adequacy of health care facilities; or
- quality of your care or outcomes.
You owe it to yourself to have better health and a better life through your lifestyle choices such as:
- not smoking; and
- eating healthy foods.
Get to know your health plan benefits and take advantage of the benefits that maintain wellness. Do your part to reduce health care costs by:
- choosing a primary care physician to help you manage your health;
- completing an annual physical exam; and
- reducing overuse of emergency room services by
- visiting your doctor or an urgent care clinic for non life-threatening conditions.
Use UHA's complaint and appeals process for your concerns.
Respond openly, honestly and completely to inquiries about your health.