Hometown Health Administrative Guidelines | Page 126

Office for Civil Rights at 800-368-1019 or TTY 800-537-7697 , or call your local Office for Civil Rights .
Is it about something else ?
If you think you have been treated unfairly or your rights have not been respected , and it ’ s not about discrimination , you can get help dealing with the problem you are having :
• You can call Customer Service
• You can call the State Health Insurance Assistance Program .
How to get more information about your rights there are several places where you can get more information about your rights :
• You can call Customer Service
• You can call the State Health Insurance Assistance Program . For details about this organization and how to contact it , go to Chapter 2 Section 3 of the Evidence of Coverage .
• You can contact Medicare . o You can visit the Medicare website ( http :// www . medicare . gov ) to read or download the publication “ Your Medicare Rights & Protections .” o Or , you can call 800-MEDICARE ( 800-633-4227 ) 24 hours a day , 7 days a week . TTY users should call 877-486-2048 .
You have some responsibilities as a member of the plan
What are your responsibilities ? Things you need to do as a member of the plan are listed below . If you have any questions , please call Customer Service . We ’ re here to help .
• Get familiar with your covered services and the rules you must follow to get these covered services .
• If you have any other health insurance coverage or prescription drug coverage besides our plan , you are required to tell us by calling Customer Service .
• We are required to follow rules set by Medicare to make sure that you are using all of your coverage in combination when you get your covered services from our plan . This is called “ coordination of
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