Member rights and responsibilities 

Your rights

As a member of Highmark Health Options, you have rights around your health care.

You have the right to: 

• Ask for and obtain all included information. 
• Be told about your rights and responsibilities. 
• Get information about Highmark Health Options, our services, our providers, and your rights. 
• Be treated with respect and dignity. 
• Not be discriminated against by Highmark Health Options. 
• Access all services that Highmark Health Options must provide. 
• Choose a provider in our network. 
• Take part in decisions about your health care. 
• Refuse treatment and choose a different provider. 
• Get information on treatment options and different courses of care. 
• Have your privacy respected. 
• Ask for and get your medical records. 
• Ask that your medical records be changed or corrected if needed. 
• Be sure your medical records will be kept private. 
• Recommend changes in policies and procedures. 
• Be free from any form of restraint or seclusion used as a means of force, discipline, convenience, or retaliation. 
• Get covered services, no matter your cultural or ethnic background or how well you understand English. 
• Get covered services regardless of if you have a physical or mental disability, or if you are homeless. 
• Refer yourself to in-network and out-of-network family planning providers. 
• Access certified nurse midwife services and certified pediatric or family nurse practitioner services. 
• Get emergency post-stabilization services. 
• Get emergency health care services at any hospital or other setting. 
• Accept or refuse medical or surgical treatment and to make an advance directive. 
• Have your parent or a representative make treatment decisions when you can’t. 
• Make complaints and appeals. 
• Get a quick response to problems raised around complaints, grievances, appeals, authorization, coverage, and payment of services. 
• Ask for a state fair hearing after a decision has been made about your appeal. 
• Request and get a copy of your Member Handbook. 
• Disenroll from your health plan.