As a Member of Vantage Health Plan, you have the following rights and responsibilities:
A right to receive information about Vantage, its services, its Health Care Practitioners (physicians, nurse practitioners, therapists, etc.) and Providers (hospitals, surgery centers, etc.) and your rights and responsibilities as a Member.
A right to be treated with fairness, respect and recognition of your dignity and your right to privacy.
A right to participate with your Health Care Practitioner(s) in making decisions about your health care.
A right to candid discussion of appropriate or medically necessary treatment options for your condition(s), regardless of cost or benefit coverage.
A right to voice grievances to or file appeals with or about Vantage, coverage decisions, your Health Care Practitioner(s) and/or Providers or the care provided.
A right to make recommendations regarding Vantage’s Members rights and responsibilities.
A responsibility to supply information (to the extent possible) that Vantage and its Health Care Practitioners and Providers need in order to provide care.
A responsibility to follow treatment plans and instructions for care that you have agreed to with your Health Care Practitioner(s).
A responsibility to understand your health problems and participate in developing mutually agreed-upon treatment goals to the degree possible.
A right to receive communication assistance, including assistance for the visually impaired, hearing impaired and translation service for languages other than English. These communications services are available for all verbal communications. Including service calls, general inquiries, and appeal and grievance submissions, notifications and resolutions.
A right to receive timely access to your covered drugs and services.
A right to privacy and the protection of your Protected Health Information (PHI), in accordance with state and federal law.
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