CareGuide adheres to federal, state
and other regulatory and accrediting organization requirements pertaining
to Member Rights and Responsibilities within the scope of our payor
contracts. CareGuide monitors compliance through analysis of complaints
or grievances, requests to change providers, member satisfaction surveys,
and other sources of clients' member input.
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Be treated with respect, dignity
and consideration for their privacy; |
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Be assured of confidentiality of health
and medical records and of other member information; |
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Be free from discrimination based on race,
ethnicity, national origin, religion, gender, age, mental or
physical disability, sexual orientation, genetic information,
or source of payment in receiving health care services consistent
with the benefits covered in their individual health policy; |
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Access services, as specified in the individual
health plan benefits in accordance with federal and state laws; |
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Access emergency health care services without
prior authorization consistent with the clients' member's determination
of the need for such services as a prudent layperson; |
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Choose providers from among those affiliated
with CareGuide and/or the individual health plan network; |
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Refuse care from specific providers; |
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Participate in decision-making regarding
his or her health care. |
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