Your Rights in a Long Term Care Plan

Long Term Care Plan members have certain rights, such as the right to:

• Get timely access to services that help with or prevent a health problem or disability
• Be told where, when and how to get needed services from your Plan or outside the Plan
• Be told what you need to know to give informed consent about your care
• Take part in decisions about your health care including the right to refuse treatment
• Get care without regard to gender, race, health status, color, age, national origin, sexual orientation, marital status, or religion
• Privacy about your medical record and when you get treatment
• Get a copy of your medical records and to ask that the records be amended or corrected
• Be treated with respect and dignity
• Be free from any form of restraint or seclusion used as a means of force, discipline, convenience or retaliation.

As a Plan member, you also have responsibilities.

You should always:

• Use providers who work with the Plan for covered services
• Get approval from your Care Manager or care team before receiving a covered service
• Tell the Plan about your care needs and concerns
• Tell the Plan when you go away or out of town
• Some people with a certain income must pay a surplus amount (also called spend down) to get Medicaid benefits. As a Plan member, you are responsible for paying this amount to the Plan.