Your rights as a Priority Health member
As a member of a medical plan, you have the right to:
- Prompt medical care appropriate for your condition, including emergency care if necessary.
- Discuss all treatment options available to you, regardless of what your plan covers.
- Information about us, our services, our health care providers and your rights and responsibilities.
- Collaborate with physicians and other health care providers when making decisions about the care you receive.
- Be treated with respect.
- Have your privacy protected.
- Have your medical and financial records be kept confidential, whether in electronic or written form. We will not disclose information from your medical records without your consent, except as allowed. Read our Notice of Privacy Practices for more information about this.
- Be notified quickly if we release information about you in response to a court order.
- Inspect your medical records and those of your minor dependents. Your right as a parent or legal guardian to see your minor dependent's medical records without the minor's consent may be limited by state or federal law.
- Register a complaint or file a grievance with us, or with the Commissioner of the Office of Financial and Insurance Regulation, if you experience a problem with us or with a health care provider. For more information, go to the Grievances & appeals section of this website.
- Initiate a legal proceeding if you experience a problem with us or with health care providers after you have exhausted the grievance process.
- Review a summary of Priority Health's annual report, and inspect the full report on file with the Office of Financial and Insurance Regulation.
- Suggest changes to our Member Rights and Responsibilities policies. In addition, wellness program members have the right to:
- Information about Priority Health (including programs and services provided on behalf of your employer or plan sponsor), Priority Health staff and its qualifications, and any contractual relationships
- Decline participation or disenroll from programs and services offered by Priority Health
- Be supported by Priority Health in making health care decisions with your doctors, therapists, and other health care practitioners
- Be treated courteously and respectfully by the Priority Health staff
- File a complaint with Priority Health and receive instructions on how to use the complaint process, including being informed of the organization's standards of timeliness for responding to and resolving issues of quality and complaints. For more information, go to the Grievances & appeals section of this website.
- Receive understandable information.