As a member of Physicians Plus Insurance, what are my rights and responsibilities?

Physicians Plus is committed to maintaining a mutually respectful relationship with members, and we expect members to assume certain responsibilities described below.

You have the right to:

  • Receive quality health care services that are right for you.
  • Receive information about Physicians Plus, its services, its practitioners and providers, and members' rights and responsibilities.
  • Be treated with respect and recognition of your dignity and right to privacy. You also have a right to the privacy of your medical and financial records, unless you allow their release.
  • Participate with practitioners and providers in decision-making regarding your health care.
  • A candid discussion of appropriate and medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
  • Information about preventive health services including self-care and how to stay healthy.
  • Voice complaints or appeals about Physicians Plus or the care provided to you.
  • Make recommendations regarding Physicians Plus’ member rights and responsibilities policy. 

You have the responsibility to:

  1. Read available member materials about your health plan, benefits and coverage.
  2. Build a relationship with your primary care provider and keep your appointments or give proper notice if you must cancel.
  3. Provide, to the extent possible, information that Physicians Plus and its practitioners and providers need in order to care for you.
  4. Provide correct health insurance information and arrange to pay for services if you are billed.
  5. Ask questions about your illness, your treatment plan, and how to manage your health.
  6. Follow the plans and instructions for care that you have agreed on with your practitioners.
  7. Treat health care providers, employees, and other patients with respect and display behavior proper for a health care setting.
  8. Understand your health problems and participate to the extent possible in developing mutually agreed-upon treatment goals.

This health plan is underwritten by Physicians Plus Insurance, Inc.