Senior Care Plus Member Rights

Our plan must obey laws that protect you from discrimination or unfair treatment. We do not discriminate based on a person’s race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability, or geographic location within the service area.

If you want more information or have concerns about discrimination or unfair treatment, please call the Department of Health and Human Services’ Office for Civil Rights 1-800-368-1019 (TTY 1-800-537-7697) or your local Office for Civil Rights.

If you have a disability and need help with access to care, please call us at Customer Service 775-982-3112 or 888-775-7003 (TTY users call the State Relay Service at 711) from 7:00am-8:00pm PST Monday-Sunday.

If you have a complaint, such as a problem with wheelchair access, Customer Service can help. You have the right to choose a provider for your care. You have the right to choose a provider in the plan’s network. Call Customer Service to learn which doctors are accepting new patients. You also have the right to go to a women’s health specialist (such as a gynecologist) without a referral and still pay the in-network cost-sharing amount.

As a plan member, you have the right to get appointments and covered services from your providers within a reasonable amount of time. This includes the right to get timely services from specialists when you need that care. You also have the right to get your prescriptions filled or refilled at any of our network pharmacies without long delays.

If you think that you are not getting your medical care or Part D drugs within a reasonable amount of time, please call us at Customer Service 775-982-3112 or 888-775-7003 (TTY users call the State Relay Service at 711) from 7:00am-8:00pm PST Monday–Sunday.

As a member of Senior Care Plus, you have the right to get several kinds of information from us and you have the right to get information from us in a way that works for you. This includes getting the information in languages other than English and in large print or other alternate formats.

You have the right to get full information from your doctors and other health care providers when you go for medical care. Your providers must explain your medical condition and your treatment choices in a way that you can understand.

Below is information on your privacy rights and disenrollment rights:

• Coverage Determination & Appeal Information

• Member Privacy Policy

• Member Privacy Rights

• Disenrollment Rights