
OHP MEMBERS
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Site Content > OHP MEMBERS > Member Rights & Responsibilities Member Rights & Responsibilities
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JBH Member Rights: Members have a right to ...
- Be treated with dignity and respect.
- To get services to determine what is wrong.
- Get services without a referral from your Primary Care Physician.
- To be actively involved in the development of your treatment plan.
- Receive information about your condition and covered and non-covered services to allow an informed decision about proposed treatment(s).
- To consent to treatment or refuse services and be told the consequences of that decision, except for court-ordered services.
- Receive covered services under the Oregon Health Plan which meet generally accepted standards of practice.
- To have access to urgent and emergency services 24 hours a day, 7 days a week.
- Obtain covered preventive services.
- Request a hearing from the State.
- Get a copy of your mental health record, or to ask that your records be changed or corrected, unless restricted by law.
- Talk to your mental health provider and expect that what you say will be kept private.
- Be treated by providers the same as other people seeking mental care to which you are entitled.
- Not be restrained or left alone as punishment or as a way to get you to do something.
- Help us assign you to a mental health provider.
- Get mental health care without a long delay.
- To change your mental health clinic or mental health provider for a good reason.
- Have your records given to another mental health provider or clinic with your approval.
- Have records kept about your condition, services received, and referrals made.
- Make a complaint about a clinic or a mental health provider and receive a timely answer.
- Have a friend, family member or advocate present during appointments.
- Get a referral from us to see a specialist when needed.
- Get information about your rights and responsibilities, benefits available, how to access services, and what to do in an emergency.
- Receive a written notice before a denial of, or change in, a service level or benefit is made unless such notice is not required by federal or state regulations.
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JBH Member Responsibilities: Members have a responsibility to ...
- Show your DMAP Medical Care ID to your clinic before services are received.
- Treat staff with the same respect and courtesy you expect for yourself.
- Follow agreed upon treatment plans.
- Assist us in getting payment from other insurance.
- Participate in understanding your health problems and developing mutually agreed upon treatment goals.
- Get mental health services from your mental health provider or clinic, except in an emergency.
- Decide about the care before it is given and to ask questions about things you don't understand.
- Keep your scheduled appointments and be on time.
- Call us when you need urgent or emergency care.
- Help us assign you to a mental health provider.
- Call your clinic when you are going to be late or can't keep the appointment.
- Tell your clinic or your DHS worker of other insurance you may have and if your address or phone number changed.
- Tell your mental health provider about your mental health problems.
- Take your DMAP Medical Care ID form with you whenever you need care.
- Obtain an approval from us before going to a specialist.
- Call your clinic about any out of region emergency care.
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