Benefits Handbook - Chip of Pennsylvania Pennsylvanian Children's Health Insurance Program Help
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Your Child's Rights as a Member
Your Responsibilities as a Parent/Guardian
Required Disclosure of Information
Blue Cross Caring Foundation

Your Child’s Rights as a Member

Your Child's Rights   |   You Can File a Complaint or Grievance For Your Child
You Can Accept or Refuse Treatment For Your Child   |   Confidentiality and Disclosure of Medical Information

If you have questions, suggestions, problems, or concerns regarding benefits or services performed, don’t hesitate to call member services at 1-800-464-5437. Our representatives will respond to any inquiry promptly.

Your Child’s Rights

The Caring Foundation, Keystone and the participating providers honor the following rights of all members:

  • The member has the right to information about the health plan, its benefits, policies, participating providers and member’s rights and responsibilities. Written information that is provided will be readable and easily understood.
  • The member has the right to be treated with respect, and recognition of his/her dignity and right to privacy.
  • The member has the right to participate in decision-making regarding his/her health care. This right includes open discussions of appropriate or medically necessary treatment options for their condition, regardless of cost or benefit coverage.
  • The member has a right to voice complaints and appeals about the health plan or care provided, and to receive a timely response.
  • The member has the right to choose practitioners, within the limits of the plan network, including the right to refuse care from specific practitioners.
  • The member has the right to confidential treatment of medical information. The member also has a right to have access to his/her medical records from a provider in accordance with the applicable state and federal laws.
  • The member has the right to reasonable access to medical services.
  • The member has the right to receive health care services without discrimination based on race, color, religion, gender, sexual orientation, or national origin.
  • The member has the right to formulate advance directives (living wills). Keystone will provide information concerning advance directives to members and practitioners and will support members through its medical keeping policies.

 
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