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Member Rights & Responsibilities

Your member rights are certain things you can count on from us. There are also member responsibilities that we need from you.

As a member of InterCommunity Health Network CCO (IHN-CCO) and Oregon Health Plan (OHP), you have many rights. These include choosing your own provider and making a complaint to us. Here is a full list of what you can count on from IHN-CCO:

  • Be treated with respect and dignity, the same as other patients
  • Choose your provider
  • Tell your provider about all your health concerns
  • Have a friend or helper come to your appointments, and an interpreter if you want one
  • Actively help develop your treatment plan
  • Get information about all of your OHP-covered and non-covered treatment options
  • Help make decisions about your health care, including refusing treatment, except for court-ordered services
  • Be free from any form of restraint or seclusion
  • Get a referral to a specialist if you need it, and for a second opinion if you want one
  • Complain about different treatment and discrimination
  • Get care when you need it, any time of day or night, including weekends and holidays
  • Get mental health, and family planning services without a referral
  • Get help with addiction to cigarettes, alcohol and drugs without a referral
  • Get handbooks and letters that you can understand
  • See and get a copy of your health records, unless your doctor thinks it would be bad for you
  • Limit who can see your health records
  • Get a Notice of Action letter if you are denied a service or there is a change in service level
  • Get information and help to appeal denials and ask for a hearing
  • Make complaints and get a response without a bad reaction from your plan or provider
  • Make suggestions about the member rights and responsibilities policy
  • Ask the Oregon Health Authority Ombudsperson for help with problems at 503-947-2346 or toll free at 1-877-642-0450, TTY 711.

Being an IHN-CCO member also means you have responsibilities to us. To help us serve you best, you agree to the following:

  • Find a doctor or other provider you can work with and tell them all about your health
  • Treat providers and their staff with the same respect you want 
  • Bring your medical ID cards to appointments; tell them that you have OHP and any other health insurance. 
  • Let your provider know if you were hurt in an accident
  • Be honest with your providers and give them all needed information to get the best service possible
  • Be aware of your health problems and work with your provider to make agreed-upon treatment goals
  • Be on time for appointments
  • Call your provider at least one day before if you cannot make it to an appointment
  • Have yearly check-ups, wellness visits and other services to prevent illness and keep you healthy
  • Follow your providers’ and pharmacists’ directions, or ask for another choice
  • Call OHP Client Services at 1-800-273-0557 when you move, are pregnant or no longer pregnant

View Your Member Handbook

The information on this page is a summary of your IHN benefits. For a full description of the benefits and services available to you, read your IHN Member Handbook. 

2018 Member Handbook - Medical/Mental/Dental 491.71 KB
2018 Member Handbook - Mental/Dental only 483.72 KB
2018 Member Handbook - Mental only 462.45 KB