Magellan Health - Members' Rights and Responsibilities Statement

Members have the right to:

• Be treated with dignity and respect.
• Be treated fairly, regardless of their race, religion, gender, ethnicity, age, disability, or source of payment.
• Have their treatment and other member information kept confidential. Only where permitted by law may records be released without the member's permission. 
• Easily access care in a timely fashion.
• Know about their treatment choices. This is regardless of cost or coverage by their benefit plan.
• Share in developing their plan of care.
• Receive information in a language they can understand, and free of charge.
• Receive a clear explanation of their condition and treatment options.
• Receive information about Magellan, its providers, programs, services and role in the treatment process.
• Receive information about clinical guidelines used in providing and managing their care.
• Ask their provider about their work history and training.
• Give input on the Members' Rights and Responsibilities policy.
• Know about advocacy and community groups and prevention services.
• If asked, Magellan will act on the member's behalf as an advocate.*
• Freely file a complaint or appeal and to learn how to do so.
• Know of their rights and responsibilities in the treatment process.
• Request certain preferences in a provider.

• Have provider decisions about their care made on the basis of treatment needs.
• Receive information about Magellan's staff qualifications and any organization Magellan has contracted with to provide services.*
• Decline participation or withdraw from programs and services.*
• Know which staff members are responsible for managing their services and from whom to request a change in services.*

Members have the responsibility to:

• Treat those giving them care with dignity and respect.
• Give providers and Magellan information that they need. This is so providers can deliver quality care and Magellan can deliver appropriate services.
• Ask questions about their care. This is to help them understand their care.
• Follow the treatment plan. The plan of care is to be agreed upon by the member and provider.
• Follow the agreed upon medication plan.
• Tell their provider and primary care physician about medication changes, including medications given to them by others.
• Keep their appointments. Members should call their provider(s) as soon they know they need to cancel visits.
• Let their provider know when the treatment plan is not working for them.
• Let their provider know about problems with paying fees.
• Report abuse and fraud.
• Openly report concerns about the quality of care they receive.
• Let Magellan and their provider know if they decide to withdraw from the program.*