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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 />

• Give written instructions that inform other <strong>of</strong> your wishes<br />

about your health care. This is called a “health care directive.”<br />

It allows you to name a person (agent) to decide for you if you<br />

are unable to decide, or if you want someone else to decide for<br />

you.<br />

• To choose where you will get family planning services.<br />

• To get a second opinion for medical, mental health <strong>and</strong><br />

chemical dependency services.<br />

• To be free <strong>of</strong> constraints or seclusion used as a means <strong>of</strong><br />

coercion, discipline, convenience or retaliation.<br />

• To request a copy <strong>of</strong> the Certificate <strong>of</strong> Coverage at least once a<br />

year.<br />

• To recommend changes regarding <strong>Blue</strong> Plus’ rights <strong>and</strong><br />

responsibilities policies.<br />

• To freely exercise your rights. The exercise <strong>of</strong> your rights will<br />

not badly affect the way you are treated.<br />

• Get the following information from us, if you ask for it:<br />

• Whether we use a physician incentive plan that affects the<br />

use <strong>of</strong> referral services;<br />

• The type(s) <strong>of</strong> incentive arrangement used;<br />

• Whether stop-loss protection is provided; <strong>and</strong><br />

• Results <strong>of</strong> member survey if one is required because <strong>of</strong> our<br />

physician incentive plan.<br />

• Get the results <strong>of</strong> an external quality review study from the<br />

State, if you ask for them.<br />

• To be told when a health care provider cancels their contract<br />

with <strong>Blue</strong> Plus. You may choose from the rest <strong>of</strong> the <strong>Blue</strong> Plus<br />

providers.<br />

• To have a person at <strong>Blue</strong> Plus or at the clinic to contact with<br />

any concerns about services.<br />

• To get information about <strong>Blue</strong> Plus, our services, network <strong>of</strong><br />

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

6-6 <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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