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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Member Rights <strong>and</strong><br />

Responsibilities<br />

<strong>Blue</strong> Plus Member Rights <strong>and</strong> Responsibilities. <strong>Blue</strong> Plus<br />

Members receive the following statement <strong>of</strong> rights:<br />

Your rights as a health plan member:<br />

<strong>Blue</strong> Plus<br />

• To be treated with respect, dignity <strong>and</strong> privacy.<br />

• To receive quality health care that is friendly <strong>and</strong> timely.<br />

• To have available <strong>and</strong> accessible medically necessary covered<br />

services, including emergency services, 24 hours a day, seven<br />

(7) days a week.<br />

• To be informed <strong>of</strong> your health problems <strong>and</strong> to receive<br />

information regarding treatment alternatives <strong>and</strong> their risk in<br />

order to make an informed choice regardless if the health plan<br />

pays for treatment<br />

• To participate with your health care providers in decisions<br />

about your treatment.<br />

• To give your provider a health care directive or a living will (a<br />

list <strong>of</strong> instructions about health treatments to be carried out in<br />

the event <strong>of</strong> incapacity).<br />

• To name the person who can make health care decisions for<br />

you in the event <strong>of</strong> your incapacity.<br />

• To refuse treatment.<br />

• To have privacy <strong>of</strong> medical <strong>and</strong> financial records maintained<br />

by <strong>Blue</strong> Plus <strong>and</strong> its health care providers in accordance with<br />

existing law.<br />

• To receive information about <strong>Blue</strong> Plus, its services, its<br />

providers, <strong>and</strong> your rights <strong>and</strong> responsibilities.<br />

• To make recommendations regarding <strong>Blue</strong> Plus’ rights <strong>and</strong><br />

responsibilities policies.<br />

• To have a resource at <strong>Blue</strong> Plus or at the clinic that you can<br />

contact with any concerns about services.<br />

• To file a complaint with <strong>Blue</strong> Plus <strong>and</strong> the Commissioner <strong>of</strong><br />

Health <strong>and</strong> receive a prompt <strong>and</strong> fair review.<br />

• To initiate a legal proceeding when experiencing a problem<br />

with <strong>Blue</strong> Plus or its providers.<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (12/27/10) 6-3

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