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Your Rights as an AmeriHealth Caritas Iowa Member

AmeriHealth Caritas Iowa and its network of doctors and other providers of services does not discriminate against members based on race, sex, religion, national origin, disability, age, sexual orientation, or any other basis prohibited by law. We are committed to complying with all applicable requirements under Federal and State law, as well as regulations pertaining to member privacy and confidentiality. As a member, you have rights and responsibilities.

You have the right to:

  • Get information about:
    • AmeriHealth Caritas Iowa and its health care providers.
    • Your rights and responsibilities.
    • Your benefits and services.
    • The cost of your health care services and any required cost sharing.
  • Have AmeriHealth Caritas Iowa and its health care providers treat you with dignity and respect.
  • Get materials or assistance in languages and formats other than written English, such as Braille, Audio, or Sign language, at no cost to you.
  • Receive help with interpretation services, at no cost to you.
  • Receive materials written in a manner and format which are easily understood and culturally sensitive.
  • Have personal and health information and medical records kept private and confidential.
  • Expect that AmeriHealth Caritas Iowa will give you a copy of its Notice of Privacy Practices (PDF) without your request, and:
    • Approve or deny the release of identifiable medical or personal information, except when the release is required by law.
  • Request a list of disclosures of protected health information.
  • Request and receive a copy of your medical records as allowed by applicable state and federal law.
  • Ask that AmeriHealth Caritas Iowa amend certain protected health information.
  • Ask that any Amerihealth Caritas Iowa communication that contains protected health information be sent to you by alternative means or to an alternative address.
  • Receive health care services consistent with applicable state and federal law.
  • Talk with your health care provider about:
    • Treatment plans.
    • Information on available treatment options and alternatives, given in a way you understand.
    • The kinds of care you can choose to meet your medical needs regardless of cost or benefit coverage.
  • Be a part of the decisions about your health care, including the right to refuse treatment. Your decision to do so will not negatively affect the way AmeriHealth Caritas Iowa, its health care providers, or the Department of Human Services treats you.
  • Voice complaints about and/or appeal decisions made by AmeriHealth Caritas Iowa and its health care providers.
  • File a state fair hearing with the Iowa Department of Human Services.
  • Make an advance directive.
  • Be given an opportunity to provide suggestions for changes to the AmeriHealth Caritas Iowa’s policies and procedures.
  • Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation.
  • Be free from discrimination prohibited by state and federal law.