Your rights and responsibilities in WA

As an enrollee, you agree to: 

• Help make decisions about your healthcare, including refusing treatment 
• Keep appointments and be on time; call your provider’s office if you are going to be late or if you have to cancel the appointment 
• Give your providers information they need to be paid for your services 
• Bring your services card and health plan ID card to all of your appointments 
• Learn about your health plan and what services are covered 
• Know your health problems and take part in agreed-upon treatment goals as much as possible 
• Give your providers and Wellpoint complete information about your health 
• Follow your provider’s instructions for care  
• Use healthcare services appropriately — If you do not, you may be enrolled in the Patient Review and Coordination Program. In this program, you are assigned to one primary care provider, one pharmacy, one prescriber for controlled substances, and one hospital for non-emergency care. You must stay in the same plan for at least 12 months. 
• Inform the Healthcare Authority if your family size or situation changes, such as pregnancy, births, adoptions, address changes or you become eligible for Medicare or other insurance 
• Renew your coverage annually using the Washington Health Benefit Exchange at Washington Healthplanfinder, and report changes to your account such as income, marital status, births, adoptions, address changes or becoming eligible for Medicare or other insurance