Statement of Members’ Rights
- Members have the right to be treated with dignity and respect.
- Members have the right to fair treatment. This is regardless of their race, religion, gender, ethnicity, age, disability or source of payment.
- Members have the right to have their treatment and other member information kept private. Only by law, may records be released without member permission.
- Members have the right to easily access care in a timely fashion.
- Members have the right to know all about their treatment choices. This is regardless of cost or coverage by the member’s benefit plan.
- Members have the right to share in developing their plan of care.
- Members have the right to information in a language they can understand.
- Members have the right to have a clear explanation of their treatment options and condition.
- Members have the right to information about Magellan, it’s practitioners, services and role in treatment process.
- Members have the right to get information about clinical guidelines used in providing and managing their care.
- Members have the right to information about the providers work history and training.
- Members have the right to know about advocacy and community groups and prevention services.
- Members have the right to provide input on insurance policies and services.
- Members have the right to freely file a complaint, grievance or appeal and to learn how to do so.
- Members have the right to know about the laws that relate to their rights and responsibilities.
- Members have the right to know of their rights and responsibilities in the treatment process.
Statement of Members’ Responsibilities
- Members have the responsibility to treat those giving them care with dignity and respect.
- Members have the responsibility to give provider information they need. This is so they can deliver the best possible care.
- Members have the responsibility to ask their providers questions about their care. This is so they can understand their care and their role in that care.
- Members have the responsibility to follow their treatment plans for their care. The plan of care is to be agreed upon by the member and provider.
- Members have the responsibility to follow the agreed upon medication plan.
- Members have the responsibility to tell their provider about medication changes, including medications given to them by others.
- Members have the responsibility to keep their appointments. Members should call their providers as soon as possible if they need to cancel visits.
- Members have the responsibility to let their provider know when the treatment plan no longer works for them.
- Members have the responsibility to let their provider know about problems with paying fees.
- Members have the responsibility to not take actions that could harm others.
- Members have the responsibility to report abuse.
- Members have the responsibility to report fraud.
- Members have the responsibility to openly report concerns about the quality of care.