OneCare (HMO D-SNP)

Rights and Responsibilities

OneCare members have certain rights and responsibilities.

OneCare (HMO D-SNP) must:

  • Provide information in a way that works for you.
  • Treat you with fairness and respect at all times.
  • Ensure that you get timely access to your covered services and drugs.
  • Protect the privacy of your personal health information.
  • Give you information about the plan, its network of providers and your covered services.
  • Support your right to make decisions about your care.
  • Ensure your right to make complaints and to ask us to reconsider decisions we have made.
  • Advise you if you think you are being treated unfairly or your rights are not being respected.
  • Give you more information about your rights.
  • Tell you about procedures, including appeals and grievances, with OneCare.

You are responsible for:

  • Getting familiar with your covered services and the rules you must follow to get these covered services.
  • Telling us if you have any other health insurance coverage or prescription drug coverage besides OneCare.
  • Telling your doctor and other health care providers that you are enrolled in OneCare.
  • Helping your doctors and other providers help you by giving them information, asking questions, and following through on your care.
  • Being considerate.
  • Paying what you owe.
  • Telling us if you move.
  • Calling Customer Service for help if you have questions or concerns.
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New OneCare Members

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

H5433_24WEB001_2024_A (Accepted 9/19/2023)


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