Rights and Responsibilities of Beacon Health and Partnership

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Member Rights and Responsibilities 

The following is the list of Beacon’s Member Rights & Responsibilities.  Beacon members have the right to:  

•  Be treated with respect and dignity.   
• Have your personal information be private based on our policies and U.S. law.  
•  Get information that is easy to understand and in a language you know.   
• Know about the way your health benefits work.   
• Know about our company, services, and provider network.   
• Know about your rights and responsibilities.   
• Tell us what you think your rights and responsibilities should be.   
• Get care when you need it.   
• Talk with your provider about your treatment options regardless of cost or benefit coverage.   
• Decide with your provider what is the best plan for your care.   
• Refuse treatment if you want, as allowed by the law.  
• Get care without fear of any unnecessary restraint or seclusion.   
• Decide who will make medical decisions for you if you cannot make them.   
• Have someone speak for you when you talk with Beacon.   
• See or change your medical record, as allowed by our policy and the law.   
• Understand your bill.   
• Expect reasonable adjustments for disabilities as allowed by law.   
• Request a second opinion.   
• Tell us your complaints.   
• Appeal if you disagree with a decision made by Beacon about your care.   
• Be treated fairly - even if you tell us your thoughts or appeal.  

Beacon members have the role to:  

• Give us and your providers the information needed to help you get the best possible care.   
• Follow the health care plan that you agreed on with your health care provider.   
• Talk to your provider before changing your treatment plan.   
• Understand your health problems as well as you can. 
• Work with your health care providers to make a treatment plan that you all agree on.   
• Read all information about your health benefits and ask for help if you have questions.   
• Follow all health plan rules and policies.   
• Choose an In-Network primary care physician, also called a PCP, if your health plan requires it.   
• Tell your health plan or Beacon of any changes to your name, address or insurance.  
• Contact your provider when needed, or call 911 if you have any emergency.