Derechos y responsabilidades

Conozca sus derechos y responsabilidades

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

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