• Be familiar with your benefits and exclusions of your health plan coverage.

• Provide your doctor with complete and accurate information necessary for your care.

• Be on time for all appointments and notify the provider's office as far in advance as possible for cancellation or rescheduling.

• Report changes in your condition according to provider's instructions.

• Understand the health problems.

• Participate in developing mutually agreed upon treatment plan.

• Carry out the mutually agreed upon treatment plan developed by the health care provider.

• Inform the provider(s) of your inability to follow the treatment plan.

• Inform provider(s) of your inability to understand information or details given.

• Contact your Primary Care Physician (or covering doctor) for any care needed after normal office hours.

• Treat the health care providers and staff with respect.

• Respect the rights, property, and environment of all providers, staff and other members.

• Obtain an authorized referral from your Primary Care Physician for a visit to a specialist and/or to receive specialty care.

• Utilize specialists and other providers within the medical group to stay in-network.

• Be familiar and comply with the medical group's health care service delivery system regarding access to routine, urgent, and emergent care.

• Actively participate in decisions regarding your health care and treatment plan.

• Contact the Member Services Department or Health Plan Member Services Department regarding any questions or assistance.

• Notify the health plan Member Services Department and the Primary Care/treating Physician, when you have a change in address and/or contact information.

All of these responsibilities apply to the person who has the legal responsibility to make health care decisions for the member.