Member Rights & Responsibilities

To see information specific to your plan, please select your state and plan.

Your Membership Rights

As a member of CareSource you have the following rights and responsibilities 

You have the right to:

  • Receive information about CareSource, our services, our network providers and member rights and responsibilities
  • Be treated with respect and dignity by CareSource personnel, network providers and other health care professionals
  • Privacy and confidentiality for treatments, tests and procedures you receive
  • Participate with your doctor in making decisions about your health care
  • Candidly discuss with your doctor the appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage
  • Voice complaints or appeals about the plan or the care it provides
  • Make recommendations regarding the plan’s member rights and responsibilities policy
  • Choose an advance directive to designate the kind of care you wish to receive should you be unable to express your wishes
  • Be able to get a second opinion from a qualified network provider. If a qualified network provider is not able to see you, CareSource will set up a visit with a provider not in our network.

You have the responsibility to:

  • Provide information needed, to the extent possible, in order to receive care
  • Follow the plans and instructions for care that you have agreed to with your doctors
  • Understand your health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible
  • Be enrolled and pay any required premiums
  • Pay an annual deductible, copayments and coinsurance
  • Pay the cost of limited and excluded services
  • Choose network providers and network pharmacies
  • Show your ID card to make sure you receive full benefits under the plan