Our plan must honor your rights as a plan member.

You have the following rights to help protect you:

• We must provide information in a way that works for you (such as languages other than English, Braille, large print, or other alternate formats, etc.).
• We must always treat you with fairness, respect, and dignity.
• We must ensure that you get timely access to your covered services and drugs.
• We must protect the privacy of your personal health information.
• We must give you information about the plan, its network of providers, your covered services, and your rights and responsibilities.
• You have the right to participate with practitioners in making decisions about your care.
• You have the right to candidly discuss appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
• You have the right to make complaints about our organization or the care we provide and to appeal (ask us to reconsider) our decisions.
• You have the right to know the number of and what happened to appeals, grievances, and exceptions filed by our members, which you may find out by asking us to send you this information.
• You have the right to make recommendations and get more information about your rights and responsibilities.

You also have certain Rights and Responsibilities if you disenroll:

• Until your membership ends, you must keep getting your medical services and drugs through our plan.
• Until your membership ends, you are still a member of our plan.
• You should continue using our network pharmacies to fill your prescriptions until your membership in our plan ends.
• If you are hospitalized on the day that your membership ends, you will usually be covered by our plan until you are discharged (even if you are discharged after your new health coverage begins).
• We cannot ask you to leave our plan for any reason related to your health.
• You have the right to make a complaint if we end your membership in our plan.

For more information on Member Rights and Responsibilities including disenrollment procedures and situations, please review SECUR Health Plan’s Evidence of Coverage (EOC).