to change the decision . For details on what to do if something is not covered for you in the way you think it should be covered , see Chapter 9 of the Evidence of Coverage . It gives you the details about how to ask the plan for a decision about your coverage and how to make an appeal if you want us to change our decision . ( Chapter 9 also tells about how to make a complaint about quality of care , waiting times , and other concerns .)
• If you want to ask our plan to pay our share of a bill you have received for medical care or a Part D prescription drug , see Chapter 7 of the Evidence of Coverage .
We must support your right to make decisions about your care . You have the right to know your treatment options and participate in decisions about your health care .
You have the right to get full information for your doctors and other health care providers when you go for medical care . Your providers must explain your medical condition and your treatment choices in a way that you can understand .
You also have the right to participate fully in decisions about your healthcare . To help you make decisions with your doctors about what treatment is best for you ; your rights include the following :
• To know about all of your choices . This means that you have the right to be told about all of the treatment options that are recommended for your condition , no matter what they cost or whether they are covered by our plan . It also includes being told about programs our plan offers to help members manage their medications and use drugs safely .
• To know about the risks . You have the right to be told about any risks involved in your care . You must be told in advance if any proposed medical care or treatment is part of a research experiment . You always have the choice to refuse any experimental treatments .
• The right to say “ no .” You have the right to refuse any recommended treatment . This includes the right to leave a hospital or other medical facility , even if your doctor advises you not to leave . You also have the right to stop taking your medication . Of course , if you refuse treatment or stop taking medication , you accept full responsibility for what happens to your body as a result .
• To receive an explanation if you are denied coverage for care . You have the right to receive an explanation from us if a provider has denied care that you believe you should receive . To receive this explanation , you will need to ask
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