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Member Rights & Responsibilities

 

As a Dean Health Plan member you have the right to:

  • Be treated with respect and recognition of your dignity and right to privacy.
  • Receive a listing of DHP participating practitioners in order to choose a Primary Care Physician.
  • Present a question or complaint or grievance to DHP, about the organization or the care it provides, without fear of discrimination or repercussion.
  • Receive information on procedures and policies regarding their health care benefits.
  • Timely responses to requests regarding your health care plan.
  • Request information regarding Advance Directives.
  • Participate with practitioners in making decisions about your health care.
  • A candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
  • Receive information about the organization, its services, its practitioners and providers, and members' rights and responsibilities.
  • Make recommendations regarding the organization's members' rights and responsibilities policies.

You have the responsibility to:

  • Read and understand the materials provided by DHP concerning your health care benefits. DHP encourages members to contact us if you have any questions.
  • Present your ID Card in order to identify yourself as a DHP member before receiving health care services.
  • Notify DHP of any enrollment status changes such as family size or address.
  • Supply information (to the extent possible) that the organization and its practitioners and providers need in order to provide care.
  • Follow plans and instructions for care that you have agreed to with your practitioners.
  • Understand your health problems and participate in developing mutually agreed upon treatment goals to the degree possible. 
  • Fulfill financial obligations as it relates to any copays, deductibles and/or premiums as outlined in your policy.