Rights & responsibilities
Know your rights and responsibilities
-
Member rights
-
We work with you to make sure you receive the best care available. You have certain rights and responsibilities. These help you to receive the best service.
As a Member of Aetna Better Health of Michigan, You have the right to:
- Get information about your health, PCP, our providers and Aetna Better Health services and members’ rights and responsibilities
- Request information on the Plan’s structure, operations and services
- Be treated with respect and dignity
- Be assured your personal information is kept private and confidential
- Seek advice and help
- Discuss all treatment options for your condition, regardless of cost or benefit coverage
- Voice grievances, complaints, appeals and offer suggestions about Aetna Better Health and/or the services we provide
- Make recommendations about our members’ rights and responsibilities policy
- Choose a Primary Care Provider (PCP) as your personal medical provider
- Work with doctors in making decisions about your health
- Know about diagnosis, treatment and prognosis
- Get prompt and proper treatment for physical and emotional problems
- Receive discharge planning
- Receive guidance and suggestions for more medical care if health care coverage is ended
- Access your medical records in accordance with state and federal law
- Get information about how your PCP is paid. If you need more information, call Member Services at 1-866-316-3784
- Request an emergency PCP transfer if your health or safety are threatened
- Receive culturally and language appropriate services
- Request and get a copy of your medical records and request for records to be amended or corrected
- Participate in decisions regarding your health care, including the right to refuse treatment and express your desires about treatment options.
- Be free to exercise your rights without adversely affecting the way Aetna Better Health and its. Providers or the State treats you
- Be free from any form of restraint or seclusion used as a means of force, disciplines, convenience or retaliation
- Be provided health care services consistent with the contract and State and Federal regulations
- Be free from other discrimination prohibited by State and Federal regulations
-
Member responsibility
-
As a Member Aetna Better Health of Michigan, you also have responsibilities.
These responsibilities include:
- Giving information to the Plan, its Practitioners and Providers needed for our staff to take care of you
- Following the instructions given to you by your doctors
- Understanding your health condition and sharing in the decisions for your health care
- Treating Aetna Better Health staff and doctors with respect and dignity
- Keeping all appointments and calling to cancel them when you cannot make them
- Understanding what medicine to take
- Giving us feedback about your health rights and responsibilities
- Letting us know of any changes in your name, address, or telephone number