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Member rights and responsibilities

You have rights and responsibilities as an Aetna Better Health® of Maryland member.

Your rights

Your rights

As a member of this plan, you have many rights you can count on. These include your right to:

 

  • Be treated fairly and with respect. This includes your right to privacy.

  • Not be discriminated against for any reason.

  • Be treated with dignity. 

  • Request a copy of your medical records. And make changes if allowed.

  • Be given clear information about the plan and its services.

  • Make recommendations regarding our member rights and responsibilities policy

 

 

 

 

 

 

You have the right to play an active part in your health care. This includes:

 

  • Working as a team with your primary care physician (PCP) to make decisions about your health

  • Being able to say yes or no to the care or treatment your PCP recommends

  • Being able to have a candid discussion about treatment options regardless of the cost or benefit coverage

 

You have the right to make a complaint or file an appeal and to get a timely response. This includes the right to:

 

  • File:

    • Appeals

    • Grievances

    • State fair hearings

  • Ask that your benefits continue during your appeal process. You may have to pay for the continued benefits.

 

You have the right to health care that does not have any barriers. This includes:

 

  • Getting a second opinion from another doctor in our network. 

  • Having information that explains your health plan rules. This includes what is covered and how to get services.

  • Having the right to not be restrained or isolated for someone else’s convenience. Or to not be forced to do something you don’t want to do.

Your responsibilities

Your responsibilities

As an Aetna Better Health of Maryland member, you are responsible for:

 

  • Respecting:
    • Your doctor

    • Maryland HealthChoice staff

    • Aetna Better Health of Maryland staff

  • Being on time for appointments. And canceling your appointments if you can’t make them.

  • Bringing your Medicaid ID to every appointment. You can report lost ID cards to Aetna Better Health of Maryland.

  • Calling Aetna Better Health of Maryland if you have a problem or a complaint.

  • Understanding your health problems, helping develop treatment goals, and working with your doctor to plan your care.

  • Following plans and instructions for care that you agree to with your doctor.

  • Calling Aetna Better Health of Maryland if you have a problem.

  • Asking questions about your care.

  • Giving us, providers, and practitioners accurate information to provide proper care.

  • Calling your PCP after you get emergency care.

Call us

You can find out more about your rights and responsibilities by calling Member Services at 1-866-827-2710 (TTY: 711).

Read more here

You can find out more about your rights and responsibilities in your member handbook.