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Name of Manual - Blue Cross and Blue Shield of Minnesota

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

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

Responsibilities<br />

(continued)<br />

• Medicare enrollees have the right to voluntarily disenroll from<br />

<strong>Blue</strong> Plus. <strong>Blue</strong> Plus may not encourage or request you to<br />

disenroll except in circumstances specified in federal law.<br />

• Medicare enrollees have the right to a clear description <strong>of</strong><br />

nursing home <strong>and</strong> home health care benefits covered by <strong>Blue</strong><br />

Plus.<br />

You have the responsibility as a health plan member:<br />

• To know your health plan benefits <strong>and</strong> requirements.<br />

• To provide, to the extent possible, information that <strong>Blue</strong> Plus<br />

<strong>and</strong> its providers need in order to care for you.<br />

• To participate in underst<strong>and</strong>ing your health problems <strong>and</strong><br />

developing mutually agreed-upon treatment goals.<br />

• To follow the treatment plan prescribed by your provider or to<br />

discuss with your provider why you are unable to follow the<br />

treatment plan.<br />

• To provide pro<strong>of</strong> <strong>of</strong> coverage when you receive services <strong>and</strong> to<br />

update the clinic with any personal changes, such as name <strong>and</strong><br />

address.<br />

• To pay copays at the time <strong>of</strong> service <strong>and</strong> to promptly pay<br />

deductibles, coinsurance <strong>and</strong>, if applicable, charges for services<br />

that are not covered.<br />

• To keep appointments for care or to give early notice if you<br />

need to cancel a scheduled appointment.<br />

6-4 <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)

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