Rights & Responsibilities
It’s important for you to know and understand your rights as well as the things for which you are responsible.
Your Rights
As a Colorado Access member, you have the right to:
- Receive information about Colorado Access, our services, practitioners and providers, member benefits, and member rights and responsibilities, in your language and in a way you can easily understand.
- Be treated with respect and recognition of your dignity and right to privacy. Your personal information will only be released to others when you give permission or when allowed by law.
- Participate in decisions about your care, including the decision to refuse or stop treatment, except as provided by law.
- Receive clear information and have candid discussions about your condition and appropriate or medically necessary treatment options and alternatives, regardless of cost or benefit coverage, presented in a way that is appropriate to your condition and ability to understand.
- Get care that is medically necessary from an adequate network of providers.
- Select or request a change to any primary care provider in our network.
- Receive family planning services and family planning-related services directly from any licensed or certified provider, without referral.
- Receive services from a provider that provides reasonable accommodation and equipment, in your language or with free interpretation services.
- Access care within timely appointment standards.
- Receive care for emergency conditions from any provider, in- or out-of-network, 24 hours a day, seven days a week.
- Get a second opinion on your diagnosis or treatment.
- Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation.
- Receive written notice of any decision we make to deny or limit services.
- File complaints or appeals about us, the care we provide, our practitioners and providers, or decisions about your care.
- Request and receive a copy of your medical records and request that they be corrected.
- Freely exercise your rights without adverse treatment by us or our providers.
- Recommend changes to our member rights and responsibilities policy.
- Exercise all other rights guaranteed by law.
Your Responsibilities
You have the responsibility to:
- Use providers in our network, except in an emergency.
- Follow our rules and the rules described in your member handbook.
- Tell us if you have other health coverage, including Medicare and coverage from a claim or action against a third party responsible for your illness or injury.
- Work with your providers and be respectful to providers and our staff.
- Pay any copays.
- Keep your personal information updated.
- Keep scheduled appointments and reschedule or cancel if you cannot make the appointment.
- Give us and your practitioners and providers any information needed to provide care, to the best of your ability.
- Follow the plans and instructions for care that you have agreed to with your provider.
- Understand your health problems and participate in creating mutually agreed-upon treatment goals, to the best of your ability.
Additional Member Services
Become a Member
Find helpful information about everything from advance directives to health websites and crisis resources.
Helpful Resources
Find general health websites as well as contact information for our partner providers.
Forms & Documents
Quickly access the resources you need. Find everything from grievance forms to reimbursement request forms.
Rights & Responsibilities
It’s important for you to know and understand your rights as well as the things for which you are responsible.