My Aspire Health Plan Rights

As a member of the Aspire Health Plan, you are entitled to:

• Be treated with dignity and respect at all times.
• Be protected from discrimination.
• Have your personal and health information kept private.
• Get information in a way you understand from Medicare, healthcare providers, and under certain circumstances, contractors.
• Get clear and simple information about Medicare to help you make healthcare decisions.
• Have your questions about Medicare answered.
• Have access to doctors, specialists, and hospitals.
• Learn about your treatment choices in clear language that you can understand, and participate in treatment decisions.
• Get healthcare services in a language you understand and in a culturally sensitive way.
• Get emergency care when you need it.
• Get a decision about healthcare payment, coverage of services, or prescription drug coverage.
• Request a review (appeal) of certain decisions about healthcare payment, coverage of services, or prescription drug coverage.
• File complaints (sometimes called “grievances”), including complaints about the quality of your care.
• Choose healthcare providers within the plan so you can get the healthcare you need.
• Get a treatment plan from your doctor.
• Know how your doctors are paid.
• Request an appeal to resolve differences with your plan.
• File a complaint/grievance about other concerns or problems with your plan.
• Get a coverage decision or coverage information from your plan before getting services.