• Be familiar with his/her benefits and exclusions of their health plan coverage.

• Provide his/her provider with complete and accurate information, which is necessary for their care (to the extent possible).

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

• Report changes in his/her condition according to provider instructions.

• Inform provider(s) of his/her inability to understand the information given.

• Carry out the treatment plan, which has been developed and agreed upon by the health care provider and the member.

• Contact his/her Primary Care Physician (or covering physician) for any care he or she needs after that physician’s normal office hours.

• Treat the health care providers and staff with respect.

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

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

• Contact the IPA Member Services Department or his/her Health Plan Member Services Department regarding any questions or assistance.

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

• Be responsible to notify the health plan Member Services Department and the Primary Care/treating Physician, when there is 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.