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Rights and Responsibilities upon joining Health Choice Generations

As a recipient of Medicare and as a member of Health Choice Generations, you are entitled to certain rights and also share certain responsibilities with us which are explained below.

You have the right to:

  • Be treated with Fairness and Respect
  • The Privacy of your Medical Records and Personal Health Information (PHI)
  • See plan providers, get covered services and get prescriptions filled within a reasonable period of time
  • Know your treatment choices and participate in decisions about your healthcare
  • Use Advance Directives, such as a Living Will or Power of Attorney
  • Make complaints
  • Get information about your healthcare coverage and costs
  • Get information about Health Choice , Health Choice Generations, plan providers your drug coverage and costs
How to get More Information About Your Rights
If you have questions or concerns about your rights and protections, please call Health Choice Generations Member Services, 8 am - 8 pm, 7 days a week (except holidays), at 1-800-656-8991 (TTY: 1-800-842-4681) or you may receive free help and information from:

DES Aging and Adult Administration
State Health Insurance and Assistance Program
1789 W. Jefferson, St., 950A
Phoenix, AZ 85007.

In addition, the Medicare program has written a booklet called Your Medicare Rights and Protections. To get a free copy, call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048) 24 hours a day/7 days a week. Or you can visit the Medicare website at www.medicare.gov to order this booklet or print it directly from your computer.

What can you do if you think you have been treated unfairly or Your Rights are not being respected?
If you think you have been treated unfairly or your rights have not been respected, what you should do depends on your situation. If you think you have been treated unfairly due to your race, color, national origin, disability, age or religion, please let us know. Or, you can call the Office for Civil Rights in your area at:

Phoenix Office
275 W. Washington St., Phoenix, AZ 85007
602-542-5263
TDD: 602-542-5002
Toll free: 1-877-491-5742
Toll free TDD: 1-877-624-8090

Tucson Office
400 W. Congress, Ste, S215, Tucson, AZ 85701
520-628-6500
TDD: 520-628-6872
Toll free: 1-877-491-5740
TDD toll free: 1-877-881-7552

For any other kind of concern or problem related to your Medicare rights and protections described in this section, you can call Member Services at 800-656-8991. You can also get help from Arizona's SHIP.

Your Responsibilities as a Member of Health Choice Generations
As a member of Health Choice Generations, you also have responsibilities.
Your responsibilities include the following:

  • To get familiar with your coverage and the rules you must follow to obtain care as a member. You may use your Evidence of Coverage and Summary of Benefits and other information we provide to you to learn about your coverage, what you have to pay, and the rules you need to follow. Please call Health Choice Generations Member Services, 8 am - 8 pm, 7 days a week (except holidays), at 1-800-656-8991 (TTY: 1-800-842-4681) if you have any questions.
  • To give your doctor and other providers the information they need to care for you, and to follow the treatment plans and instructions that you and your doctors agree upon. Be sure to ask your doctors and other providers if you have any questions.
  • To act in a way that supports the care given to other patients and helps the smooth running of your doctor's office, hospitals and other offices.
  • To pay any co-payments you may owe for the covered services you receive. You must also pay for any other financial responsibilities you may incur.
  • To let us know if you have any questions, concerns, problems, or suggestions.
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