Member Rights & Responsibilities

rights

Molina Healthcare staff and providers will comply with all requirements concerning your rights.

Molina Healthcare members have the right to:

  • Get information on the structure and operation of the health plan, its services, its providers and member rights and responsibilities.
  • Be treated with respect with recognition of your dignity and right to privacy.
  • Take part in decision making with your doctor about your health care, including the right to refuse treatment and express preferences about treatment options regardless of cost or coverage.
  • Get a fair and timely reply to requests for service.
  • Voice complaints or appeals about the health plan and the care received.
  • Know that your member information will be kept private. It is only used in reports to the state to show that the Plan is following state rules and laws.
  • Ask how your doctor is paid.
  • To make suggestions regarding the Plan's rights and responsibility policy.
  • Be free from any form of restraint or seclusion used as means of coercion, discipline, convenience or retaliation.
  • Request and receive a copy of your medical records, and request that they be amended or corrected.
  • Be provided covered healthcare services
  • Be free to exercise your rights without adversely affecting the way Molina, our providers or the State treat you.
  • Be free from other discrimination prohibited by State and Federal regulations.
  • Request clinical practice guidelines upon request

Molina Healthcare members have the responsibility to:

  • Provide Molina Healthcare and its providers with the necessary information needed to care for you.
  • Know, understand, and follow the terms and conditions of the health plan.
  • Seek out information in order to make use of the services.
  • Begin and continue a patient-physician relationship.
  • Learn about your medical condition and its importance to your health care.
  • Take part in decision-making about your health care.
  • To follow the plans and instructions for care that you have agreed upon with your doctor.
  • Call and make appointments with your provider.
  • Call and cancel your appointment as soon as you know you will not be able to keep the appointment.

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