- Be treated with respect and dignity.
- Be safe from discrimination based on race, ability, religion, gender, sexual orientation, health, ethnicity, beliefs, age, or national origin.
- Get healthcare services in your preferred spoken or written language or an alternative format you understand.
- Speak freely and privately with your care team about all care options and treatments needed, no matter what the cost or whether it is covered by Carelon.
- Get the most up-to-date information from a healthcare provider about the cause of your illness, your treatment, and what may result from it. You can ask for help if you do not understand the information given to you.
- Work with your doctors to make decisions about your care.
- Share your feedback.
- Get a copy of your medical record if you request it.
- Have your health information kept private as described in our privacy policy and as described in state and federal laws.
- Say “no” to care for any condition, sickness, or disease without having it affect any care you may receive in the future. This includes asking your healthcare provider to tell you how that may affect your health, now and in the future.
- Get the information you need to make sure you get the most from your healthcare. This includes information about:
- Our company’s programs and services.
- How to opt in or out of programs.
- Our network of healthcare providers.
- How to make a complaint or file an appeal.
- Carelon utilization management decision-making is based only on appropriateness of care, services, and the existence of coverage.
- Carelon does not reward healthcare providers or other individuals for issuing denials of coverage or care.
- Financial incentives for utilization management decision makers do not encourage decisions that result in underutilization.
