Your Rights And Responsibilities

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If you have questions or need help with your health care, please call our Customer Service Department at:

1-877-412-2734 (toll free)
1-714-246-8711 (fax)

24 hours a day/ 7 days a week.

Members with hearing or speech impairments can call the TDD/TTY line at 1-800-735-2929.

We also provide interpreter services at no cost to our members.

We have staff who speak your language.

Tenemos personal que habla su idioma.

Chúng tôi có nhân viên nói cùng ngôn ngữ với quý vị.

Your Rights As A
OneCare (HMO SNP) Member

At OneCare (HMO SNP), our goal is to provide you with access to the highest quality care possible. To us, access to quality care means more than having great health care providers. It means making sure you understand your benefits and know your rights as a OneCare member. It also means working together with us to improve our programs and services. And, in case you ever have concerns about the health care services you get, it is important to us that you understand where to get help.

Your Rights and Responsibilities

As a OneCare member, you have rights and responsibilities. These are the standards we promise to you and your responsibilities as a member in turn.

Your Right To Privacy

OneCare has a privacy policy that explains the steps we take to keep your personal information private. It also describes how and when we might share your health information with others.

You Can Report Fraud
or Abuse

If you see any activity that you think is fraudulent or wasteful, we strongly encourage you to call our Compliance and Ethics Hotline at 1-877-837-4417 or report the activity using the Suspected Fraud or Abuse Referral Form. You do not have to give your name to report fraud activity.

You Can File A Grievance Or Appeal

In case you ever have concerns about the health care services you get, you have the right to OneCare will not discriminate against you or limit your benefits in any way if you express concerns or file a complaint.

Date Revised December 22, 2016

To file a complaint with Medicare, click on the following link to complete a complaint form on the Medicare website: Medicare Complaint Form.

H5433_WEB1004 Approved (11/15/16)

OneCare (HMO SNP) is a Medicare Advantage organization with a Medicare contract. Enrollment in OneCare depends on contract renewal. Eligible beneficiaries can enroll at any time. Eligible beneficiaries must have Part A and Part B to enroll in the plan. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Other Pharmacies/Physicians/Providers are available in our network. Medicare beneficiaries may also enroll in OneCare (HMO SNP) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. Medicare has neither reviewed nor endorsed this information. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. OneCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This information is available for free in other languages. Please call our customer service number at 1-877-412-2734, 24 hours a day, 7 days a week. TDD/TTY users should call 1-800-735-2929.

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