BadgerCare Plus - Member Rights & Responsibilities

Quartz's Member Rights and Responsibilities Statement shows our commitment to a mutually respectful relationship with our members and practitioners. The following statement assures members that we respect their rights and communicates our expectations of the members’ responsibilities.

Member Rights

• You have the right to ask for an interpreter and have one provided to you during any BadgerCare Plus covered service.
• You have the right to receive the information in another language or another format.
• You have the right to pick a personal doctor from Primary Care Physicians who participate in your plan’s provider network.
• You have the right to get information about your Rights and Responsibilities as a Quartz member.
• You have the right to give us ideas about these Rights and Responsibilities.
• You have a right to know about doctors you can see.
• You have the right to receive health care services as provided for in federal and state laws. All covered services must be available and accessible to you. When medically appropriate, services must be available 24 hours a day, seven days a week.
• You have the right to receive information about treatment options including the right to request a second opinion.
• You also have the right to get preventive care information.
• You have the right to make decisions about your health care. You can also refuse care.
• You have the right to be treated with dignity and respect.
• You have the right to be free from any form of restraint or seclusion used as means of force, control, ease or reprisal.
• You have a right to know how to file a complaint, appeal or grievance. You have the right to privacy and confidentiality in all communications and records about your health care.
• You have the right to be free to exercise your rights without adverse treatment by the HMO and its network providers.
• You may switch HMOs without cause during the first 90 days of Quartz enrollment.
• You have the right to switch HMOs, without cause, if the State imposes sanctions or temporary management on Quartz.
• You have the right to receive information from Quartz regarding any significant changes with Quartz at least 30 days before the effective date of the change.

Member Responsibilities

• It is your responsibility to pick a personal doctor from Quartz’s list of Primary Care Physicians who participate in your plan’s network.
• It is also your responsibility to create a relationship with that doctor.
• It is your responsibility to read your member handbook and ask questions about information you don’t understand.
• It is your responsibility to carry your ForwardHealth ID card and your Quartz member ID card with you and show them when you go to your doctor and hospital.
• It is your responsibility to be honest with your doctors and give them information they need to take care of your health.
• It is your responsibility to ask questions about your health.
• It is your responsibility to follow the instructions your doctor gives you.
• It is your responsibility to make healthy choices.