Members

Member Rights & Responsibilities

Members have a right to:

  • Information about Arkansas Blue Cross and Blue Shield
  • An explanation of their benefits
  • Access to health care providers
  • Be treated with respect and dignity
  • Participate in decisions regarding their health care coverage
  • Confidentiality of information
  • Change health care providers
  • Appeal adverse claim decisions

Members have a responsibility to:

  • Become familiar with the terms, requirements and procedures of their health insurance plan
  • Present their member ID card to health care providers when seeking care
  • Provide information in connection with their submitted claims, including information about other health care coverage, when requested by Arkansas Blue Cross
  • Meet all copayments, deductible and coinsurance obligations
  • Notify Arkansas Blue Cross of any change in eligibility status
  • Communicate to Arkansas Blue Cross any complaint or grievance immediately

NOTE: Information on Member Rights and Responsibilities is provided annually in our member magazine, Blue & You.