• Member Rights

Questions about your plan? Call us.

Your Rights

You have the right to:

• Receive information about our services, providers, and
members’ rights and responsibilities.

• Receive considerate, courteous care and treatment with
respect for personal privacy and dignity.

• Receive accurate information regarding your rights and
responsibilities and benefits in member materials and
through telephone contact.

• Be informed by your provider about your health so
you may make thoughtful decisions before you receive

• Candidly discuss with your healthcare provider
appropriate or medically necessary treatment options for
your condition, regardless of cost or benefit coverage.
We do not have policies that restrict dialogue between
provider and patient, and we do not direct providers to
restrict information regarding treatment options.

• Participate with providers in decisions involving your
health and the medical care you receive.

• Express concerns about SelectHealth and the care we
provide, and receive a response in a reasonable period of

• Request a second opinion.

• Refuse recommended medical treatment.

• Select or change your primary care provider.

• Make recommendations regarding our members’ rights
and responsibilities policy.

• Have reasonable access to appropriate medical services
regardless of your race, religion, nationality, disability,
sex, or sexual orientation, and 24-hour access to urgent
and emergency care.

• Receive care provided by or be referred by your primary
care provider.

• Have all medical records and other information kept

• Have all claims paid accurately and in a timely manner.

Your Responsibilities

You have the responsibility to:

• Treat all our providers and personnel at SelectHealth

• Read all plan materials carefully as soon as you enroll and
ask questions when necessary.

• Ask questions and make certain you understand the
explanation and instructions you are given.

• Understand the benefits of your plan and understand
not all recommended medical treatment is eligible for

• Follow plans and instructions for care that have been
agreed upon with the provider.

• Express constructively your opinions, concerns, and
complaints to the appropriate people at SelectHealth.

• Follow the policies and procedures of your plan, and
when appropriate, seek a referral from your primary care
provider to SelectHealth providers or call SelectHealth
for assistance.

• Ask questions and understand the consequences of
refusing medical treatment.

• Communicate openly with your healthcare provider,
develop a patient-provider relationship based on trust
and cooperation, and participate in developing mutually
agreed-upon treatment goals.

• Read and understand your plan benefits and limitations
and call us with any questions.

• Keep scheduled appointments or give adequate notice of

• Obtain services consistently according to the policies and
procedures of your plan.

• Provide all pertinent information needed by your provider
to assess your condition and recommend treatment.

• Use our providers when applicable, carry your ID Card,
and pay copay/coinsurance amounts at the time of
Log in to My Health to view your claims and plan information.

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038. 。


CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038. 번으로 전화해 주십시오.


ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । SelectHealth Advantage: 1-855-442-9900 (TTY: 711)/ SelectHealth: 1-800-538-5038 मा फोन गर्नुहोस्।


FAKATOKANGA’I: Kapau ‘oku ke lea fakatonga, ko e kau fakatonu lea te nau tokoni atu ta’etotongi, pea te ke lava ‘o ma’u ia. Telefoni ki he SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.

Hū‘anga ki tu‘a

ОБАВЕШТЕЊЕ: Ако говорите српски језик, услуге језичке помоћи доступне су вам бесплатно. Позовите Select Health Advantage: 1-855-442-9900 (TTY- Телефон за особе са отежаним говором или оштећеним слухом: 711)/Select Health: 1-800-538-5038.


PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل بشركة SelectHealth Advantage: 1-855-442-9900 (رقم هاتف الصم والبكم: 711) / SelectHealth: 1-800-538-5038.


ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги переводчика. Позвоните SelectHealth Advantage: 1-855-442-9900 (телетайп: 711) / SelectHealth: 1-800-538-5038.


សម្គាល់៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ សេវាជំនួយផ្នែកភាសា ដោយមិនគិតថ្លៃ គឺអាចមានសំរាប់ អ្នក។ សូមទូរស័ព្ទមក SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038 ។


注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038. まで、お電話にてご連絡ください。


ATTENTION : si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Contactez SelectHealth Advantage au 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.