CenterLight Healthcare Select

Member Rights and Responsibilities

As a member of CenterLight Healthcare Select, you are entitled to the following rights:

You have the right to receive medically necessary care.

You have the right to timely access to care and services.

You have the right to privacy about your medical record and when you get treatment.

You have the right to get information on available treatment options and alternatives presented in a manner and language you understand.

You have the right to get information in a language you understand; you can get oral translation services free of charge.

You have the right to get information necessary to give informed consent before the start of treatment.

You have the right to be treated with respect and dignity.

You have the right to get a copy of your medical records and ask that the records be amended or corrected.

You have the right to take part in decisions about your health care, including the right to refuse treatment.

You have the right to be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation.

You have the right to get care without regard to sex, race, health status, color, age, national origin, sexual orientation, marital status or religion.

You have the right to be told where, when and how to get the services you need from your managed long term care plan, including how you can get covered benefits from out-of-network providers if they are not available in the plan network.

You have the right to complain to the New York State Department of Health or your local Department of Social Services; and, the right to use the New York State Fair Hearing System.

You have the right to appoint someone to speak for you about your care and treatment.

You have the right to make advance directives and plans about your care.

As a CenterLight Healthcare Select member, you are responsible for:

Receiving covered services through CenterLight Healthcare Select;

Using CenterLight Healthcare Select network providers for covered services;

Obtaining prior authorization for covered services, except for pre-approved covered services;

Being seen by your physician if a change in your health status occurs;

Sharing complete and accurate health information with your health care providers;

Informing CenterLight Healthcare Select staff of any changes in your health and making it known if you do not understand or are unable to follow instructions;

Following the Plan of Care recommended by CenterLight Healthcare Select;

Cooperating with and being respectful to CenterLight Healthcare Select staff, and not discriminating against CenterLight Healthcare Select staff because of race, color, national origin, religion, age, sex, mental or physical ability, sexual orientation or marital status;

Notifying CenterLight Healthcare Select within 2 business days, preferably before, or if not then after, receiving either non-covered services or pre-approved covered services;

Notifying CenterLight Healthcare Select in advance whenever you will not be home to receive services or care that have been arranged for you;

Informing CenterLight Healthcare Select before permanently moving out of the service area, or of any lengthy absence from the service area;

Your actions if you refuse treatment or do not follow CenterLight Healthcare Select’s instructions; and

Meeting your financial obligations.

Members may be liable for the cost of services not authorized by your CenterLight Healthcare program.

We are here to assist you 24/7!