Consumer Rights: Your Health Care Provider

Applies to all health plans.

If you request it, a HCP must give you information about her/his qualifications, training and experience. A health plan cannot punish or forbid a HCP from:

Fully informing you or your representative of all the treatments, therapies, consultations or tests that apply to your condition or disease, even if your plan does not cover them.

Explaining how the plan’s requirements and limitations affect you.

Advocating on your behalf.
Reporting to the State a plan’s practices that the HCP believes has affected the quality of health care.