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Rights and Responsibilities

As a Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) member you have the right to:

  • Get information in a way you will know it. We can give you information in other languages. We can give you information in large print, or other formats.
  • Be treated with respect and recognition of your dignity and your right to privacy. 
  • Get covered services and drugs in a timely manner.
  • Have a candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
  • Have Superior STAR+PLUS MMP protect your health, race, ethnicity and language information by not telling people not involved in your healthcare or not authorized by you about your health or other information.
  • See your medical record.
  • Get information about the plan, its services, its network providers and member rights and responsibilities. 
  • Not get charged directly by network providers.
  • Not get charged for covered services.
  • Make decisions about your healthcare on your own and participate with providers in making decisions about your health care.
  • Voice complaints or appeals about the plan or the care it provides. 
  • Ask us again to approve a request that was originally denied.
  • Make recommendations about Superior STAR+PLUS MMP’s member rights and responsibilities policy.
  • Leave the plan at any time during the year.

As a member, you need to:

  • Know your covered services.
  • Know the rules you must follow to get these covered services.
  • Tell us if you have other health insurance.
  • Tell us if you have other drug coverage.
  • Tell your doctor and other providers that you are enrolled in our plan. Show your Member ID Card whenever you get services or drugs.
  • Help your doctors and other providers help you by giving them the information they need.
  • Be considerate and respect the rights of other patients. Act with respect in your doctor’s office, hospitals and other providers’ offices.
  • Pay the amounts you are responsible for.
  • Ask your doctors any questions you have about your care or medications.
  • Understand your health problems and participate in developing treatment goals with your provider.
  • Follow instructions about your care that you have agreed to with your providers.
  • Tell us if you move.
  • Be sure you have approval from your Primary Care Provider (PCP) before going to a specialist.

Call Superior STAR+PLUS MMP's Member Services for help if you have questions or concerns. You can request a complete list of Member Rights and Responsibilities or refer to Chapter 8 of your Member Handbook. To request a printed copy of your Member Handbook, or a paper copy of anything on our website, call Member Services.

Call Member Services at 1-866-896-1844. Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned the next business day. TTY users call 711.