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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.

What you can count on from us

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.

What we need from you

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