Member responsibilities
As a Blue Care Network member, there are certain things we expect from you. We refer to these as your responsibilities. All members have the responsibility to:
- Read BCN General Provisions and Benefits booklet and the applicable riders, the Member Handbook and all other materials for members, and call BCN Customer Service with any questions.
- Coordinate all nonemergency care through their primary care physician.*
- Use the BCN provider network unless otherwise referred and approved by BCN and their primary care physician.*
- Comply with the plans and instructions for care that they have agreed to with their practitioners.
- Provide, to the extent possible, complete and accurate information that BCN and our practitioners and providers need in order to provide care for them.
- Make and keep appointments for nonemergent medical care. They must call their doctor’s office if they need to cancel an appointment.
- Participate in the medical decisions regarding their health.
- Be considerate and courteous to practitioners, providers, their staff, other patients and BCN staff.
- Notify BCN of address changes and additions or deletions of dependents covered by their contract.
- Protect their identification card against misuse and contact Customer Service immediately if a card is lost or stolen.
- Report to BCN all other health care coverage or health insurance programs that cover their health and their families health.
- Participate in understanding their health problems and developing mutually agreed-upon treatment goals.
BCN members also have responsibilities if they participate in one of our disease management programs. Please refer to Rights and responsibilities of Members in Living with Illness Programs for a complete listing of these responsibilities.
* Blue Elect Self-Referral members can self refer to Michigan doctors.
page modified 04/23/2008