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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Health Plan Members<br />

have the Following<br />

Responsibilities<br />

At Your Service<br />

YOU HAVE THE RESPONSIBILITY AS A HEALTH PLAN<br />

MEMBER:<br />

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

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

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

To underst<strong>and</strong> your health problems <strong>and</strong> work with your doctor<br />

to set mutually agreed-upon treatment goals.<br />

To follow the treatment plan prescribed by your provider or<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.<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 />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (10/24/11) 1-25

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