Name of Manual - Blue Cross and Blue Shield of Minnesota

Member Rights and
Responsibilities
(continued)
Minnesota Health Care Programs Member Rights and
Responsibilities:
Blue Plus
You have the right to know about your rights and responsibilities.
If you have any questions, please call member services at
(651) 662-5545 or toll free at 1-800-711-9862.
Your rights as a health plan member:
• To get quality health care that’s timely, accessible, and
friendly.
• To be treated with respect, dignity and consideration for
privacy.
• To get medically necessary covered services, including
emergency services 24 hours a day, seven (7) days a week.
• To be told about your health problems.
• To get information about treatment, your treatment choices and
how they may help or harm you – whether or not the health
plan would pay for these treatments.
• To participate with your providers in the decisions about your
health care.
• To participate in understanding your health problems and
developing your treatment goals.
• To refuse treatment. To get information about what might
happen if you refuse treatment.
• To refuse care from specific providers.
• To expect that we will keep your medical and financial records
private.
• To request and receive a copy of your medical records. You
also have the right to ask to correct the records.
• Get notice of our decisions if we deny, reduce, or stop a
service, or deny a payment for a service.
• To file a grievance or appeal with Blue Plus. You can also file
a complaint with the Minnesota Department of Health.
• To request a State Fair Hearing with the Minnesota
Department of Human Services (also referred to as “the
State”). You may request a State Fair Hearing before or at any
time during the Blue Plus appeal process. You do not have to
file an appeal with Blue Plus before you request a State Fair
Hearing.
• To get a clear explanation of covered nursing home and home
care service.
Blue Cross Blue Shield of Minnesota Provider Policy and Procedure Manual (12/27/10) 6-5