Member Rights and Responsibilities
As a Member you have the right to:
- Receive impartial access to treatment and/or accommodations that are available or medically indicated, regardless of race, color, religious creed, handicap, ancestry, national origin, age, sexual orientation or sex.
- Be treated respectfully and with consideration for your personal dignity and privacy.
- Privacy of your personal health information that BCBSND maintains in accordance with federal and state laws.
- Request and receive a copy of your medical records in the possession of BCBSND and request that they be amended or corrected in accordance with the federal law.
- Be informed about your health condition and to receive information regarding available treatment options and alternatives, in a manner appropriate to your condition and ability to understand, regardless of cost or benefit coverage.
- Participate in decisions regarding your health care, including the right to refuse treatment.
- Make recommendations regarding this Member rights and responsibilities statement.
- Use the Grievance and appeal process for complaints, comments and timely resolution of disputes. You may do so by contacting BCBSND Member Services at the telephone number on the back of your Identification Card.
- Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation, as specified in federal regulations on the use of restraints and seclusion.
- Be free to exercise all rights and that by exercising those rights, you shall not be adversely treated by the North Dakota Department of Health & Human Services, BCBSND or its Network Providers.
- Receive information about BCBSND, its products and services, its Network Providers and your rights and responsibilities, in accordance with 42 CFR §438.10.
- Request assistance with effective communication including written information in other formats and written and oral translation services.
As a Member you have the responsibility to:
- Know your health plan benefits and the requirements for accessing and receiving benefits under this Benefit Plan.
- Notify the North Dakota Department of Health & Human Services within 10 days at toll-free (844) 854- 4825 | ND Relay TTY: (800) 366-6888 (toll-free) if you change your name, address or telephone number.
- Notify the North Dakota Department of Health & Human Services of any changes of eligibility that may affect your membership or access to services.
- Provide the necessary information to your Health Care Providers to determine appropriate care.
- Follow the treatment plan prescribed by your Health Care Provider.
- Timely provide BCBSND the necessary information to process your claims and provide you with the benefits available to you under this Benefit Plan.
BCBSND non-discrimination statement:
BCBSND does not discriminate based on:
- Race
- Ethnicity
- Color
- National origin
- Disability
- Sex
- Gender
- Gender identity
- Sexual orientation
- Religion
- Religious beliefs
- Medical condition, including history of a mental health and substance use disorder
- Sources of payment for care
- Existence of an Advance Directive or age, in admission, treatment or participation in its programs, services and activities
