The Member has the right to:

1. Be informed about the IPA, its services and participating providers and the health care service delivery process.
2. Be treated with respect and dignity without regard to Age, gender, sexual orientation or cultural, economic, educational or religious background.
3. Be provided with information on how to obtain care after normal office hours and how to obtain emergency care including when to directly access emergency care or use 911 services.
4. Be informed of the name and qualifications of the physician who has primary responsibility for coordinating the member’s care; and be informed of the names, qualifications, and specialties of other physicians and non-physicians who are involved in the member’s care.
5. Have 24-hour access to the member’s primary care physician (or covering physician).
6. Receive comprehensive health assessment, including preventive healthcare.
7. Actively participate in decisions regarding the member’s health care and treatment plan.
8. Receive complete information about the diagnosis, proposed course of treatment or procedure, alternate courses of treatment or non-treatment, the clinical risks involved in each, and prospects for recovery in terms that are understandable to the member, in order to give informed consent or to refuse that course of treatment.
9. Be informed of appropriate or medically necessary treatment options for the member’s condition, regardless of cost or benefit coverage.
10. Have access to their entire medical records and health information in accordance with the state and federal law and kept them confidential
11. Be informed that they have a right to transfer to any provider in the IPA network.
12. Change his/her primary care physicians to another PCP who participates in the IPA network by contacting the health plan’s Member Services Department.
13. Be informed of continuing health care requirements following office visits, treatments, procedures and hospitalizations and receive reasonable continuity of care.
14. Be informed of the termination of a primary care provider or practice site and receive assistance in selecting a new primary care provider or site in this situation.
15. Seek a second opinion from another specialist within Superior Choice Medical Group.
16. Be informed of the member complaint/grievance and appeal process including how to express a complaint and/or file a regular or expedited appeal.
17. MedLogix MSO allows an individual appointed by a member or other party, or authorized under state or applicable law, to act on behalf of a member, to manage their care / treatment decisions when the member is incapacitated and unable to do so for themselves.