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Member Rights & Responsibilities

Members have a right to be treated with respect and recognition of their dignity and need for privacy.

Members have a right to participate with providers in making decisions regarding their treatment planning.

Members have a right to a candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage.

Members have a right to file complaints, appeals, and voice concerns over issues including: the organization, the care provided, and privacy violations.

Members have a right to receive an accounting of disclosures, including copies of signed authorization to release information forms.  The information will be made available as quickly as possible, but not later than 30 days following the receipt of the request per BPA Health’s Policy and Procedure on Uses and Disclosures of Protected Health Information (PHI).

Members have a right without an authorization to release PHI to request and obtain a copy of his/her PHI, unless the PHI will pose a threat or do harm to the individual.

Members have the right to rescind the authorization to release information per BPA Health’s Uses and Disclosures of Protected Health Information (PHI).

Members have a responsibility to provide, to the extent possible, information that the organization and its providers need in order to care for them.

Members have a responsibility to follow the plans and instructions for care that they have agreed upon with their providers.

Members have a responsibility to participate, to the degree possible, in understanding their behavioral health problems and developing mutually agreed upon treatment goals.

Members have a responsibility to read and have documentation regarding their benefits coverage.

Members may make recommendations regarding the organization’s Members’ rights and responsibilities policy.

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