October 2019

Member Rights and Responsibilities Notification

As an independently contracted provider with Blue Cross and Blue Shield of Illinois (BCBSIL), it is important that you are aware of our members’ rights and responsibilities. Our health plan members may refer to their benefit booklet for a listing of their rights and responsibilities or access these documents on our public websites.
Member rights and responsibilities include:

• A right to receive information about BCBSIL, our services, our providers and facilities, and member rights and responsibilities.
• A right to be treated with respect and recognition of the members’ dignity and right to privacy.
• A right to participate with providers in making decisions about the members’ health care.
• A right to have a candid discussion of appropriate or medically necessary treatment options for the members’ condition, regardless of cost or benefit coverage.
• A right to voice complaints or appeals about BCBSIL or the care we provide.
• A right to make recommendations regarding our members’ rights and responsibilities policy.
• A responsibility to provide, to the extent possible, information that BCBSIL, the provider and facility may need to provide care to the member.
• A responsibility to follow the plans and instructions for care that the member has agreed to with their provider.
• A responsibility to understand their health problems and participate in the development of mutually agreed upon treatment goals, to the degree possible.

*This does not include members with HMO Illinois^®, Blue Advantage HMO^SM, Blue Precision HMO^SM, BlueCare Direct^SM and Blue FocusCare^SM, Blue Cross Medicare Advantage^SM (HMO and PPO) products.