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Hometown Health Providers ( PPO ) Member Rights and Responsibilities ____________________________________________________
Hometown Health Providers defines a member as an individual who meets all applicable eligibility requirements as defined in the Evidence of Coverage and whose enrollment form has been accepted by Hometown Health Providers in accordance with those requirements .
Hometown Health Providers issues an identification card to each member . This card contains information about the member and the plan in which the member is enrolled . Members enrolled in the PPO plan may designate any PCP on the Hometown Health Network who is available to accept them as a patient .
Requirements for members
Hometown Health Providers requires that the member fulfill these responsibilities when seeking services from providers :
• Contact a physician to make an appointment when services are needed
• We recommend that members establish themselves with the physician by scheduling an initial checkup , to meet the provider and fill out applicable paperwork
• Arrive for appointments with the provider on time
• Notify the provider that he or she is insured through Hometown Health Providers
Note : While some members may not know the name of their insurer the provider staff should always ask for that information . When in doubt , confirm eligibility on Link or contact our Customer Service Department at 775-982-3232 or 800-336- 0123 .
• Pay any co-payment , coinsurance or other charges that are the patient ’ s responsibility when they are requested
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