At Nascentia Health,

each Member has

Rights and Responsibilities

Your Rights

As a member of Nascentia Health Options, LLC you have a right to:

  • Receive medically necessary care;
  • Timely access to care and services;
  • Privacy about your medical record and when you get treatment;
  • Get information on available treatment options and alternatives presented in a manner and language you understand;
  • Get information in a language you understand; you can get oral translation services free of charge;
  • Get information necessary to give informed consent before the start of treatment;
  • Be treated with respect and dignity;
  • Get a copy of your medical records and ask that the records be amended or corrected;
  • Take part in decisions about your health care, including the right to refuse treatment;
  • Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation;
  • Get care without regard to sex, race, health status, color, age, national origin, sexual orientation, marital status or religion;
  • Be told where, when and how to get the services you need from your managed long term care; plan, including how you can get covered benefits from out-of-network providers if they are not available in the plan network;
  • Complain to the New York State Department of Health or your Local Department of Social Services; and, the Right to use the New York State Fair Hearing System and/or a New York State External Appeal, where appropriate; and
  • Appoint someone to speak for you about your care and treatment.

Your Responsibilities

As a member of Nascentia Health Options, LLC you agree to:

  • Work with your Care Manager to become as independent and self managing as possible;
  • Find out how your health care system works;
  • Listen to your health care providers advice and ask questions when you are in doubt;
  • Treat health care staff with the respect you expect yourself;
  • Tell us if you have problems with any health care staff;
  • Keep your appointments. If you must cancel, call as soon as you can.;
  • Use the emergency room only for real emergencies;
  • Call your health care providers when you need medical care, even if it is after-hours;
  • Use Providers who work with Nascentia Health Options, LLC for covered services;
  • Get approval from your PCP and/or Care Manager before getting covered service;
  • Contact your Care Manager any time you use the emergency room, are hospitalized, get new prescriptions or receive a referral to another medical provider; and
  • If you have a spend down (surplus) to be Medicaid eligible, you must pay this to Nascentia Health Options, LLC.

If you have any questions, please contact Nascentia Health Options at (315) 477-9500.

Download a copy of our Member Bill of Rights and Responsibilities (pdf)

Last Updated on August 18, 2024