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Rights and Responsibilities

First Choice VIP Care Plus (Medicare-Medicaid Plan) must honor your rights as a member of the plan.

Rights

  • You have the right to get information from First Choice VIP Care Plus in a way that works for you (in languages other than English, in Braille, in large print, or other alternate formats).
  • You have the right to be treated with fairness and respect at all times.
  • You have the right to get timely access to your covered services and drugs.
  • You have the right to have the privacy of your personal health information protected.
  • You have the right to get information about the plan, its network of providers, and your covered services.
  • You have the right to make decisions about your care and for First Choice VIP Care Plus to support those decisions.
  • You have the right to make complaints and to ask us to reconsider decisions we have made.
  • You have the right to disenroll from the plan.
  • You have the right to know your treatment options and participate in decisions about your health care.
  • You have the right to give instructions about what is to be done if you are not able to make medical decisions for yourself.
  • You have the right to make complaints and to ask us to reconsider decisions we have made.
  • You have the right to be protected from paying any fees that First Choice VIP Care Plus is responsible for.
  • You have the right to not be charged any cost sharing (copays and deductibles) for Medicare Parts A and B services.
  • You have the right to have a voice in how the plan is operated. If you have feedback on how the plan is operated today, please call Member Services.

You also have some obligations as a member of our plan.

Responsibilities

  • If you have any other health insurance coverage or prescription drug coverage in addition to our plan, you are required to tell us.
  • Tell your health care providers that you are enrolled in our plan. Show your plan membership card whenever you get your medical care or Part D prescription drugs.
  • Help your providers help you by giving them information, asking questions, and following through on your care.
  • Be considerate. We expect all our members to respect the rights of other patients. We also expect you to act in a way that helps the smooth running of your provider's office, hospitals, and other offices.
  • Pay what you owe. As a plan member, you are responsible for these payments.
  • Read the Member Handbook (PDF) to learn what is covered and what rules you need to follow to get covered services and drugs.
  • Participate in an initial health screen upon enrollment in the plan and a comprehensive assessment within the first 60 or 90 days of enrollment.
  • Tell us if you move. If you are going to move, it's important to tell us right away. Call 1-888-978-0862 (TTY/TDD 711), 8 a.m. to 8 p.m., 7 days a week.

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