As a Prevea360 Health Plan member you have the right to:
Be treated with respect and recognition of your dignity and right to privacy.
Receive a listing of Prevea360 participating practitioners in order to choose a Primary Care Physician.
Present a question or complaint or grievance to Prevea360, about the organization or the care it provides, without fear of discrimination or repercussion.
Receive information on procedures and policies regarding their health care benefits.
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 conditions, 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.
You have the responsibility to:
Read and understand the materials provided by Prevea360 concerning your health care benefits. Prevea360 encourages members to contact us if you have any questions.
Present your ID Card in order to identify yourself as a Prevea360 member before receiving health care services.
Notify DHP 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 to with your practitioners.
Understand your health problems and participate in developing mutually agreed upon treatment goals to the degree possible.
Fulfill financial obligations as it relates to any copays, deductibles and/or premiums as outlined in your policy.
