Upper Peninsula Health Plan

Download
Adobe Acrobat
Reader Here.

Upper Peninsula Health Plan

UPPER PENINSULA HEALTH PLAN

MEMBER RIGHTS

YOUR RIGHTS

  • To get high-quality health care.
  • To be treated with dignity and respect.
  • To have full discussions with your doctors about your treatment options
         and decisions, whether covered or costly.
  • To work with your doctors to make health care decisions.
  • To be told what services are covered by UPHP.
  • To say that you do not want certain care.
  • To choose or change your primary care provider (PCP).
  • To know the names and backgrounds of your health care providers.
  • To have your records kept private and your privacy protected.
  • To have your medical and financial records kept private, whether in oral, written,
         or electronic form.
  • To have your medical information disclosed only with your consent (except
         when required by law, when needed for plan management, or for studies and
         medical research).
  • To look at your records or those of your minor dependents at the office of
         your doctor during the doctor’s normal work hours.
  • To have your problems taken care of quickly by filing a complaint or appeal.
  • To have a fair hearing with the State of Michigan if you are a Medicaid member.
  • To get your questions answered about your bills.
  • To have medical benefits even if you have or had a long-term illness or
         problems before you enrolled with UPHP.
  • To get help with any special disability needs you may have.
  • To get help with any special language or cultural needs you may have.
  • To get information about how your PCP is paid.
  • To get information about doctor incentives.
  • To get information about UPHP.
  • To get your rights.
  • To know what UPHP expects of you.
  • To have the UPHP staff and its providers comply with all of your rights and what UPHP
         expects of you.
  • To make suggestions about member rights, UPHP policies, or what UPHP expects of you.
  • WHAT UPHP EXPECTS OF YOU

  • Be respectful to your doctors, all health care staff, and UPHP staff.
  • Tell your doctors your full health and social history.
  • Follow the advice of your doctors.
  • Get care if you are pregnant.
  • Ask questions about your care.
  • Make and keep appointments.
  • Cancel your appointments 24 hours ahead of time if you cannot go.
  • Follow UPHP rules.
  • Tell your local Department of Human Services office about name, address, and
         telephone number changes.
  • Always carry your current mihealth and UPHP identification cards.
  • Call UPHP if your card is lost or stolen.
  • Tell UPHP, Michigan Medicaid, your local Department of Human Services office, and your
         doctors if you have other insurance.
  • Work with your primary care provider (PCP) to manage your health.
  • Understand your health problems so that you and your doctors can set treatment goals.
  • Work with your UPHP Clinical Services nurse to help manage an ongoing health problem.
  • Provide information needed by UPHP or your doctors.
  • If you have more than one doctor, ask them to communicate about your care.
  •  

    August 2008

    Members click here for Customer Service

    Please contact our Webmaster with questions or comments about this site.
    © Copyright 1999 Upper Peninsula Health Plan, Inc. All rights reserved.

    Upper Peninsula Health Plan - 228 W. Washington Street - Marquette, MI 49855

    1-800-835-2556 or  906-225-7500

    Disclaimer