TLC expects our provider to honor the rights of our members. Please review this listing of TLC member rights in order to make sure you are familiar with the rights of all TLC Members.
Our members have the following rights and responsibilities:
Be treated with respect and in a dignified way. You have a right to privacy and to have your medical and financial information treated with privacy.
Ask for and get information about TLC, its policies, it services, its caregivers and members' rights and responsibilities.
Ask for and get inforamtion about how TLC pays its providers, including any kind of bonus for care based on cost or quality.
Ask for and get inforamtion about your medical records as the federal and state laws say. You can see your medical records, get copies of your medical records, and ask to correct your medical records if they are wrong.
Get services without being treated in a different way because of race, color, birthplace, language, sex, age, religion, or disability. You have a right to file a complaint if you think you have been treated unfairly. If you complain or appeal, you have the right to keep getting care without fear of bad treatment from TLC providers or TennCare.
Get care without fear of physical restraint or seclusion used for bullying, discipline, convenience or revenge.
Make appeals or complaints about TLC or your care.
Make suggestions about your rights and responsibilities or how TLC works.
Choose a PCP in the TLC network. You can turn down care from certain providers.
Get medically necessary care that is right for you, when you need it. This includes getting emergency services, 24 hours a day, 7 days a week.
Be told in an easy-to-understand way about your care and all of the different kinds of treatment that could work for you, no matter what they cost or even if they aren't covered.
Help to make decisions about your health care.
Make a living will or advance care plan and be told about Advance Medical Directives.
Change health plans. If you are new to TennCare, you can change health plans once during the 45 days after you get TennCare. After that, you can ask to change health plans. Part 4 of this handbook tells you more about changing health plans.
Ask TennCare and TLC to look again at any mistake you think they make about getting on TennCare or keeping your TennCare or about getting your health care.
End your TennCare at any time.
Exercise any of these rights without changing the way TLC or its providers treat you.
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