68 2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage Chapter 6: Your rights and responsibilities Section 1.10 – You can make suggestions about rights and responsibilities As a member of our plan, you have the right to make recommendations about the rights and responsibilities included in this chapter. Please call Member Services with any suggestions. Section 2 — You have some responsibilities as a member of our plan Things you need to do as a member of our plan are listed below. If you have any questions, please call Member Services. • Get familiar with your covered services and the rules you must follow to get these covered services. Use this Evidence of Coverage to learn what is covered for you and the rules you need to follow to get your covered services. ♦ Chapter 3 and Chapter 4 give the details about your medical services. • If you have any other health insurance coverage in addition to our plan, or separate prescription drug coverage, you are required to tell us. ♦ Chapter 1 tells you about coordinating these benefits. • Tell your doctor and other health care providers that you are enrolled in our plan. Show your plan membership card whenever you get your medical care. • Help your doctors and other providers help you by giving them information, asking questions, and following through on your care. ♦ To help get the best care, tell your doctors and other health care providers about your health problems. Follow the treatment plans and instructions that you and your doctors agree upon. ♦ Make sure your doctors know all of the drugs you are taking, including over-the-counter drugs, vitamins, and supplements. ♦ If you have any questions, be sure to ask and get an answer you can understand. • Be considerate. We expect all our members to respect the rights of other patients. We also expect you to act in a way that helps the smooth running of your doctor's office, hospitals, and other offices. • Pay what you owe. As a plan member, you are responsible for these payments: ♦ You must pay your plan premiums. ♦ You must continue to pay a premium for your Medicare Part B to remain a member of our plan. ♦ For most of your medical services covered by our plan, you must pay your share of the cost when you get the service. • If you move within our plan's service area, we need to know so we can keep your membership record up-to-date and know how to contact you. • If you move outside of our plan's service area, you cannot remain a member of our plan. • If you move, it is also important to tell Social Security (or the Railroad Retirement Board). kp.org