Member's Rights and Responsibilities

UHA supports your right to:
  • build a strong relationship with your health care providers;
  • play a key role in staying healthy; and
  • have a way to address your problems.

View our Notice of Privacy Practices

 

Your Rights

Information Disclosure

You have the right to get correct and easy to understand information about:
  • your health plan;
  • health care providers; and
  • health care facilities.
You will be helped to make informed health care decisions, if you
  • speak another language; or
  • you have a physical or mental disability; or
  • you don't understand something.

Choice of Providers and Plans

You have the right to a choice of health care providers and access to appropriate high-quality health care.

Access to Emergency Services

You 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.
You have the right to receive screening and stabilization emergency services:
  • when and where needed; and
  • without prior authorization.

Participation in Treatment Decisions

You have the right:
  • to know all reasonable and important treatment options; and
  • to participate in decisions about your care.
If you cannot make your own decisions you can designate any of the following to represent you:
  • your parents;
  • your guardians;
  • your family members; or
  • others.

Respect and Nondiscrimination

You have the right to considerate, respectful, and nondiscriminatory care from your:
  • doctors;
  • health plan representatives; and
  • other health care providers.

Confidentiality of Health Information

You 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.
You may also ask your doctor to amend or append your record if it is not:
  • accurate;
  • relevant; or
  • complete.

Complaints and Appeals

You have the right to a fair, fast, and objective review of any complaint you have against:
  • your health plan;
  • doctors;
  • hospitals; and
  • other health care staff.
This includes complaints about:
  • waiting times;
  • operating hours;
  • conduct of health care staff;
  • adequacy of health care facilities; or
  • quality of your care or outcomes.

Your Responsibilities

You owe it to yourself to have better health and a better life through your lifestyle choices such as:

  • exercising;
  • 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.