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Member Rights

As a member of CareSource, you have the following rights:

To be treated with respect and with regard for your dignity and privacy.
To be sure that your medical record information is kept private.
To say yes or no to having any information about you given out unless CareSource has to by law.
To be given information about your health. You can ask your PCP for your medical records. You can also ask CareSource for information.
To get information on any medical treatment option from your provider, whether or not it is covered by CareSource.
To get written materials in alternative formats if you have special needs.
To take part in decisions about your health care unless it is not in your best interest.
To be sure that others cannot hear or see you when you are getting medical care.
To get an interpreter if you do not speak or understand the language of your provider. You can have an interpreter with you during a medical exam. This is a free service.
To ask if CareSource has special payment arrangements with providers that could affect the services you may need or receive. Please call our service center to get this information.
To say no to treatment or therapy to the extent allowed by law. If you refuse care, you are responsible for what could happen as a result.
To file a grievance (complaint) or appeal or to request a state hearing. To learn more, please click on Complaints.
To get medical care regardless of race, color, religion, sex, sexual orientation, age, disability, national origin, veteran’s status, ancestry, health status or need for health services.

You can also contact CareSource to get more information about:

Our structure and operations.
How we pay providers.
How we work with other health care plans, if you have other coverage.
Results of member surveys.
How many members disenroll from CareSource.

If you have any questions, please call our service center at 1-800-390-7102 (TTY: 1-800-649-3777 or 711).

Patient advocate law

You have the right to make advance directives. This is covered under Michigan’s Patient Advocate Law. These are documents you sign in case you become seriously ill. They are used if you become unable to communicate because of your illness or injury. They let your doctor and others know your wishes concerning medical treatment. You sign them while you are still healthy and able to make such decisions.

In these documents you can:

Specify your wishes about future medical care.
Give someone you trust the right to make decisions for you. The person you name is called your patient advocate.
Or both. In this case, your patient advocate would agree to follow the wishes you have put in writing.

CareSource does not put any limits on your right to do this under state law. To file a complaint about how CareSource follows your wishes, please write or call:

Office of Financial and Insurance Regulation

Health Plans Division

611 West Ottawa, Third Floor

P.O. Box 30220

Lansing, MI 48909-7720

1-877-999-6442 or www.michigan.gov/ofir

To file a complaint about how your provider follows your wishes, please write or call:

Bureau of Health Professions, Complaint and Allegation Division

P.O. Box 30670

Lansing, MI 48909-8170

(517) 373-9196 or bhpinfo@michigan.gov

The Bureau of Health Professions complaint and allegation website is www.michigan.gov/healthlicense. Click on “File a Complaint.”