What Are My Rights as a Medicare Member?

Under federal law, you have certain rights and protections when it comes to your health care and your Medicare coverage. 

Your rights

You have the right to:

  • Know your treatment options and participate in decisions about your health care.
  • Give instructions about what happens if you’re unable to make medical decisions for yourself.
  • Make complaints and ask us to reconsider decisions we’ve made. 
  • File a grievance about anything from your doctor's office cleanliness to how we've handled certain situations.

If you have any questions, please call the number on the back of your member ID card.

You can also get help with your rights and protections from the Medicare Beneficiary Ombudsman, a person who reviews and helps you with your Medicare complaints. 

Our responsibilities

We must:

  • Treat you with fairness and respect at all times.
  • Ensure you get timely access to your covered services and drugs.
  • Protect the privacy of your personal health information.
  • Give you information about your Medicare plan, the providers in your network and the services covered.
  • Provide information in a way that works for you. For example, we have translation services for customers who speak English as their second language. And TTY users should call 711.
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