Your rights in a Medicare Advantage Plan or other Medicare health plan

In addition to the rights and protections for all people with Medicare, you have the right to:

• Choose health care providers within the plan, so you can get the health care you need.
• Get a treatment plan from your doctor.
  • If you have a complex or serious medical condition, a treatment plan lets you directly see a specialist within the plan as many times as you and your doctor think you need.
  • Women have the right to go directly to a women's health care specialist without a referral within the plan for routine and preventive health care services.
• Know how your doctors are paid.
  • When you ask your plan how it pays its doctors, the plan must tell you.
  • Medicare doesn't allow a plan to pay doctors in a way that could interfere with you getting the care you need.
• File a grievance about other concerns or problems with your plan.
• Get a coverage decision or coverage information from your plan before getting services.
• Join another plan if your plan stops participating in Medicare.

Read your plan's membership materials, or call your plan if you want to know more about your rights and protections.