You deserve the best service and health care possible. Dean Health Plan is committed to maintaining a mutually respectful relationship with its members. To promote effective health care, Dean Health Plan makes clear its expectations for the rights and responsibilities of its members to foster cooperation among members, practitioners and Dean Health Plan.

Your Rights
As a member, you have the right to:

• Be treated with respect and recognition of your dignity and right to privacy.
• Receive a list of Dean Health Plan participating practitioners in order to choose a primary care provider.
• Present a question or complaint or grievance to Dean Health Plan about the organization or the care it provides without fear of discrimination.
• Receive information on procedures and policies regarding your health care benefits.
• Receive timely responses to requests regarding your health care plan.
• Request information regarding advance directives.
• Participate with practitioners in making decisions about your health care.
• A candid discussion of appropriate or medically necessary treatment options for your condition, regardless of cost or benefit coverage.
• Receive information about the organization, its services, its practitioners and providers, and members’ rights and responsibilities.
• Make recommendations regarding the organization’s members’ rights and responsibilities policies.

Your Responsibilities
As a member, you have the responsibility to:

• Read and understand the materials provided by Dean Health Plan concerning your health care benefits. Dean Health Plan encourages members to contact the plan if they have any questions.
• Present your ID card in order to identify yourself as a Dean Health Plan member before receiving health care services.
• Notify Dean Health Plan of any enrollment status changes such as family size or address.
• Supply information (to the extent possible) that the organization and its practitioners and providers need in order to provide care.
• Follow plans and instructions for care that you have agreed on with your practitioner.
• Understand your health problems and participate in developing mutually-agreed-upon treatment goals to the degree possible.

Your rights and responsibilities are available for you to access on our Web site at www.deancare.com. To access these documents from our Web site, click on “Insurance Services,” then follow the information available under “For Members.” You can find your member rights and responsibilities in your Member Handbook. If you would like a hard copy, you may print the information from our Web site or call our Customer Service Department for assistance at 608-828-1301 or 800-279-1301.

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