Your Rights as an AmeriHealth Caritas New Hampshire Member

As a member of our plan, you have certain rights concerning your healthcare.

  • You have the right to receive information in an easily understandable and readily accessible format that meets your needs. For more information, refer to Section 2.13 (Other important information: Alternative formats and interpretation services).
  • You have the right to be treated with respect and with due consideration for your dignity and privacy.
  • You have the right to receive information on available treatment options and alternatives, presented in a manner appropriate to your condition and ability to understand, regardless of cost or benefit coverage.
  • You have the right to participate in decisions regarding your health care, including the right to refuse treatment.
  • You have the right to be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation.
  • You have the right to see, as well as request and receive a copy of your medical records, and the right to request that your medical records be amended or corrected.
  • You have the right to covered services and drugs that are available and accessible in a timely manner.
  • You have a right to care coordination.
  • You have the right to privacy and protection of your personal health information.
  • You have the right to receive information about our plan, our network providers, and your covered services.
  • You have the right to make decisions about your health care.
  • You cannot be retaliated against in any way by the plan or by the New Hampshire Department of Health and Human Services (NH DHHS) for exercising your rights.
  • You have the right to a second opinion. For more information, refer to Section 6.6 (Getting a second medical opinion).
  • You have the right to know what to do if you are being treated unfairly or your rights are not being respected. For more information, refer to Section 10.7 (How to file a grievance and what to expect after you file).
  • You have the right to be informed of any changes in state law that may affect your coverage. The plan will provide you with any updated information at least 30 calendar days before the effective date of the change whenever practical.
  • You have the right to exercise advance care planning for your health care decisions if you so choose. For more information, refer to Section 9.3 (Advance care planning for your health care decisions).
  • You have the right to make a complaint if a provider does not honor your wishes expressed in your advance directive. For more information, refer to Section 9.3 (Advance care planning for your health care decisions).
  • You have the right to leave our plan in certain situations. For more information, refer to Section 11 (Ending your plan membership).
  • You have the right to voice complaints or appeals about the plan or the care it provides.
  • You have the right to make recommendations regarding the plan's member rights and responsibilities policy.
Members