September 30, 2022
As a participating provider, it’s important that you’re aware of our members’ rights and responsibilities. A summary is provided below. Additional information can be found in the members’ benefit booklet and on our Member website.
Member rights include the right to:
Receive information about Blue Cross and Blue Shield of Illinois (BCBSIL), our services, participating providers and facilities, and member rights and responsibilities
Be treated with respect and dignity with recognition of their right to privacy
Participate with providers in making decisions about their health care
Have a candid discussion of appropriate or medically necessary treatment options for their condition, regardless of cost or benefit coverage
Voice complaints or appeals about BCBSIL or the services we provide
Make recommendations regarding our member rights and responsibilities policy
Member responsibilities include a responsibility to:
Provide, to the extent possible, information that BCBSIL and the provider and facility need to provide care
Follow the plans and instructions for care that the member has agreed to with their provider
Understand their health problems and participate in the development of mutually agreed upon treatment goals, to the degree possible
Blue Cross and Blue Shield Federal Employee Program® (FEP®) members: In addition to the details provided above, visit fepblue.org for more information about our FEP members.