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ARTICLE Member Rights and Responsibilities

Empowering you for better health care.

Empty words don't make you feel better. A better health care company does.

 

That's why we created the Member Bill of Rights and Responsibilities. It outlines exactly what you can expect from your health care experience and how you can improve that experience, too.   

 

You have the right to:

  • Be treated with respect and dignity by UnitedHealthcare personnel, network doctors and other health care professionals.
  • Privacy and confidentiality for treatments, tests and procedures you receive. See Notice of Privacy Practices in your benefit plan documents for a description of how UnitedHealthcare protects your personal health information.
  • Voice concerns about the service and care you receive.
  • Register complaints and appeals concerning your health plan or the care provided to you.
  • Receive timely responses to your concerns.
  • Candidly discuss with your doctor the appropriate and medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
  • Access to doctors, health care professionals and other health care facilities.
  • Participate in decisions about your care with your doctor and other health care professionals
  • Receive and make recommendations regarding the organization’s rights and responsibilities policies.
  • Receive information about UnitedHealthcare, our services, network doctors and health care professionals.
  • Be informed about, and refuse to participate in, any experimental treatment.
  • Have coverage decisions and claims processed according to regulatory standards, when applicable.
  • Choose an Advance Directive to designate the kind of care you wish to receive should you become unable to express your wishes. 

You have the responsibility to:

  • Know and confirm your benefits before receiving treatment.
  • Contact an appropriate health care professional when you have a medical need or concern.
  • Show your health plan ID card before receiving health care services.
  • Pay any necessary co-payment at the time you receive treatment.
  • Use emergency room services only for injury and illness that, in the judgment of a reasonable person, require immediate treatment to avoid jeopardy to life or health.
  • Keep scheduled appointments.
  • Provide information needed for your care.
  • Follow agreed-upon instructions and guidelines of doctors and health care professionals.
  • Participate in understanding your health problems and developing mutually agreed-upon treatment goals.
  • Notify your employer of any changes in your address or family status.
  • Log in to myuhc.com or call Customer Care when you have a question about your eligibility, benefits, claims and more.
  • Log in to myuhc.com or call Customer Care before receiving services to verify that your doctor or health care professional participates in the UnitedHealthcare network.