Monday, September 24, 2018       
     
 
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  Enrollee Rights and Responsibilities  

MHNet believes that members should know what their Rights and Responsibilities are. Please review the statement below. If you have any questions, please call the MHNet office at the number listed on your health plan ID card.

(HealthCare USA Member Rights and Responsibilities Available Here)

(These are also available in print, free of charge, by calling the number on the back of your card)

  As a member accessing care through MHNet  

You have the following Rights:

  • To receive information regarding MHNet Behavioral Health's services, participating behavioral health care provider and covered services; and to receive information about MHNet's clinical guidelines and member rights and responsibilities
  • To be treated professionally, with respect and recognition of your dignity and need for privacy
  • To participate with providers in decision making regarding your treatment plan
  • To candidly discuss appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage
  • To voice complaints or appeals about MHNet or the care provided and to appear before a panel; members also have the right to receive an answer to those complaints and appeals within a reasonable period of time
  • To make recommendations regarding MHNet's member rights and responsibilities policies and procedures
  • To have your medical and business records maintained confidentially, in accordance with state and federal law
  • To obtain a written copy of MHNet's HIPAA Notice of Privacy Policies upon request
  • To access your "protected health information" in accordance with HIPAA regulations
  • To request restrictions on the use and disclosure of your "protected health information" in accordance with HIPAA regulations

Your Responsibilities include:

  • To provide to the best of your knowledge, accurate and complete information about present symptoms, past illnesses, hospitalizations, medications, and other information your provider needs in order to care for you
  • To follow the treatment plan and instructions for care agreed upon by you and your provider
  • To participate, to the degree possible, in understanding your behavioral health problems and developing mutually agreed upon treatment goals and discussing with your provider any questions, concerns or disagreements about your care or treatment plan
  • To report unexpected changes in your condition to your behavioral health care provider
  • To confirm that services are authorized by MHNet in advance
  • To understand your behavioral health benefits, and pay any applicable copayment for covered services
  • To inform MHNet and/or your behavioral health care provider about changes in your eligibility for benefits or coverage
  • To advise an MHNet Member Services Representative of any difficulty you experience and work with the representative to resolve those issues
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