As a Blue Cross and Blue Shield of North Carolina (蓝十字数控) member, 你有一定的权利和责任.
As a 蓝十字数控 member, you have the right to:
- 收到 information about your coverage and your rights and responsibilities as a member.
- 收到, 要求, 关于你计划的事实, including a list of doctors and health care services covered.
- 收到 polite service and respect from 蓝十字数控.
- 收到 polite service and respect from the doctors who are part of the 蓝十字数控 networks.
- 收到 the reasons why 蓝十字数控 denied a request for 治疗 or health care service, 而这些规则是用来达到这些结果的.
- 收到, 要求, details on the rules used by 蓝十字数控 to decide whether a procedure, 治疗, 网站, 设备, 药物或设备需要事先批准.
- 收到, 要求, a copy of 蓝十字数控's list of covered prescription drugs. You can also request updates about when a drug may become covered.
- 收到 clear and correct facts to help you make your own health care choices.
- 积极参与你的365betway下载保健 and discuss 治疗 options with your doctor without regard to cost or benefit coverage.
- Participate with practitioners in making decisions about your health care.
- Expect that 蓝十字数控 will take measures to keep your health information private and protect your health care records.
- Voice complaints and expect a fair and quick appeals process for addressing any concerns you may have with 蓝十字数控.
- Make recommendations regarding 蓝十字数控's member rights and responsibilities policies.
- 接收关于蓝十字NC的信息, 它的服务, its practitioners and providers and members' rights and responsibilities.
- Be treated with respect and recognition of your dignity and right to privacy.
- Present your 蓝十字数控 ID card each time you receive a service.
- Read your 蓝十字数控 benefit booklet and all other 蓝十字数控 member materials.
- Call 蓝十字数控 when you have a question or if the material given to you by 蓝十字数控 is not clear.
- Follow the course of 治疗 prescribed by your doctor. If you choose not to comply, advise your doctor.
- Provide 蓝十字数控 and your doctors with complete information about your illness, 事故或365betway下载问题, 提供护理可能需要哪些因素.
- Understand your health problems and participate in developing mutually agreed-upon 治疗 goals to the degree possible.
- Make appointments for non-emergency medical care and keep your appointments. If it is necessary to cancel an appointment, give the doctor's office at least 24-hours notice.
- Be polite to network doctors, their staff and 蓝十字数控 staff.
- Tell your place of work and 蓝十字数控 if you have any other group coverage.
- Tell your place of work about new children under your care or other family changes as soon as you can.
- Protect your 蓝十字数控 ID card from improper use.
- Comply with the rules outlined in your member benefit guide.