13.07.2015 Views

Blue Cross/Blue Shield benefit book - East Aurora Union Free School

Blue Cross/Blue Shield benefit book - East Aurora Union Free School

Blue Cross/Blue Shield benefit book - East Aurora Union Free School

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Rights & ResponsibilitiesYour Member ResponsibilitiesAs a <strong>Blue</strong><strong>Cross</strong> <strong>Blue</strong><strong>Shield</strong> member, your responsibilities are to:• Establish yourself as a patient of the Primary Care Physician you have selected.• Follow the plans and instructions for care that you have agreed upon with your practitioners.• Provide, to the extent possible, information that <strong>Blue</strong><strong>Cross</strong> <strong>Blue</strong><strong>Shield</strong> and our practitioners and providersneed in order to care for you.• Follow carefully your health plan’s policies and procedures, as described in your member hand<strong>book</strong> andyour contract(s) and rider(s).• Ensure your Primary Care Physician coordinates any health care you receive in order to receive thehighest level of <strong>benefit</strong>s.• Carry your member ID card with you and present it when seeking health services.• Advise us of any changes which affect you or your family, such as birth, change of address or marriage.• Submit all bills you have received from a non-participating provider within one year from the date ofservice.• Notify us when anyone included in your coverage becomes eligible for Medicare or any other group healthinsurance.• Keep us informed of your concerns about the medical care you receive.• Pay appropriate copays to providers when services or supplies are received.• Participate in understanding your health problems and developing mutually agreed upon treatment goalswith your providers.24.

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