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How to get more information about Members rights
Members have the right to receive information about their rights and responsibilities and if Members
have questions or concerns about their rights and protections, they should be directed to call Member
Services. Members can also get free help and information from their State Health Assistance Insurance
Program (SHIP). In addition, the Medicare program has written a booklet called Members Medicare
Rights and Protections. To get a free copy, Members should be directed to call 1-800-MEDICARE
(1-800-633-4227). TTY is 1-877-486-2048. Members can call 24 hours a day, 7 days a week. Or,
Members can visit www.medicare.gov
on the web to order this booklet or print it directly from their
computer.
What can Members do if they think they have been treated unfairly or their rights are not being
respected?
If Members think they have been treated unfairly or their rights have not been respected, there are
options for what they can do.
• If Members think they have been treated unfairly due to their race, color, national origin,
disability, age, or religion, we must encourage them to let us know immediately. They can also
call the Office for Civil Rights in their area.
• For any other kind of concerns or problem related to their Medicare rights and protections
described in this section, Members should be encouraged to call Member Services. Members
can also get help from their SHIP.
Bravo Health Members have the following responsibilities:
Along with rights Members have responsibilities by being a Member of Bravo Health. Members are
responsible for the following:
a. To become familiar with their Bravo Health coverage and the rules they must follow to get care as a
Member. Members can use their Bravo Health Evidence of Coverage and other information that we
provide them to learn about their coverage, what we have to pay, and the rules they need to follow.
Members should always be encouraged to call Member Services if they have any questions or
complaints.
b. To advise Bravo Health if the Member has other insurance coverage
c. To notify Providers when seeking care (unless it is an emergency) that Member is enrolled with
Bravo Health and present their plan enrollment card to the Provider.
d. To give their doctors and other Providers the information they need to care for the Member, and to
follow the treatment plans and instructions that they and their doctors agree upon. Members must be
encouraged to ask their doctors and other Providers questions whenever they have them.
e. To act in a way that supports the care given to other patients and helps the smooth running of their
doctor’s office, hospitals, and other offices.
f. To pay their plan premiums and any co-payments they may have for the covered services they
receive. Members must also meet their other financial responsibilities that are described in their
Evidence of Coverage.
g. To let Bravo Health know if they have any questions, concerns, problems, or suggestions regarding
their rights, responsibilities, coverage and Bravo Health operations.
