Rights and Responsibilities
As a Health Partners Medicare member, you have certain rights, including:
- We must provide information in a way that works for you (such as in languages other than English, in Braille, in large print, or other alternate formats).
- We must treat you with fairness and respect at all times.
- We must ensure that you get timely access to your covered services and drugs.
- We must protect the privacy of your personal health information.
- We must give you information about the plan, its network of providers, and your covered services. This includes:
- Information about your coverage and the rules you must follow when using your coverage.
- Information about why something is not covered and what you can do about it.
- We must support your right to make decisions about your care. This includes:
- Having the right to know your treatment options and participate in decisions about your health care.
- Having the right to give instructions about what is to be done if you are not able to make medical decisions for yourself.
- You have the right to make complaints and to ask us to reconsider decisions we have made.
If you believe you are being treated unfairly or your rights are not being respected:
- If it is about discrimination, call the U.S. Department of Health and Human Services Office of Civil Rights at 1-800-368-1019 or TTY 1-800-537-7697, or call your local Office for Civil Rights.
- If you believe you have been treated unfairly or your rights have not been respected, and it's not about discrimination, you can get help dealing with the problem you are having:
- You can call Member Relations at 1-866-901-8000 (TTY 711).
- You can call the State Health Insurance Assistance Program, Apprise, at 1-800-783-7067.
- Or, you can call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week. TTY users should call 1-877-486-2048.
You also have some responsibilities as a member of the plan. You are responsible to:
- Become familiar with your covered services and the rules you must follow to get these covered services.
- Tell us if you have any other health insurance coverage or prescription drug coverage in addition to our plan.
- Tell your doctor and other health care providers that you are enrolled in our plan.
- Help your doctors and other providers help you by giving them information, asking questions, and following through on your care.
- Be considerate of your providers and respect the rights of other patients.
- Pay what you owe for your Medicare coverage and the services you receive.
- Tell us if you move.
Call us anytime at 1-866-901-8000 (TTY 711) for help if you have questions or concerns.