My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
State and federal law protects your rights. When you sign up for a health plan and/or if you have problems accessing care through your health plan, it is important to know your rights.
Below are some basic health care rights. To find out more about the specific rights in your state, and how you can file a complaint, visit the state resource page.
You have a right to understand what your health plan covers and what it does not. Contact your health plan’s member services department to get information about what your plan includes.
You have a right to see and review all of your health care records.
Under the Health Insurance Portability and Accountability Act (HIPPA) you have the right to keep your health care information and records private.
You have a right to know how your health plan handles complaints and grievances. Contact your health plan’s member services department to get information about filing a complaint about your health coverage.
If your issue is not resolved through your health plan’s complaint process, you can file a complaint through your state agency that handles health plans.
State and federal laws require health plans to follow certain timelines when processing and responding to health care complaints. Check your health plan coverage information and/or contact your state regulatory agency to learn about these timelines.