Member Rights

Arta IPA-contracted physicians and service providers are dedicated to high-quality patient care. As an Arta Health Network member, you will receive:

• Courteous, considerate and respectful treatment at all times.
• Candid discussions of appropriate or medically-necessary treatment options for your conditions, regardless of cost or benefit options.
• Access to preventive health care services.
• Information about benefits, where and how to seek care, and the risks involved in treatment.
• Timely response to requests for services, inquiries and complaints.
• Second opinions when medically appropriate.
• Titles and specialties of the health care professionals responsible for your care.
• Privacy and confidentiality regarding your medical and health conditions.
• Information regarding health plan, medical group, and physician grievance procedures.
• Recognition of your rights to make decisions regarding your medical care, and to complete an advance health care directive, thereby extending your rights to any person whom you delegate to make decisions on your behalf regarding your medical care.
• The right to make recommendations in regards to your patient rights and responsibilities.

Member Responsibilities

As your assigned health care provider, we ask that you:

• Provide professional staff with all pertinent health care information needed to ensure the best possible outcome.
• Communicate with your primary care physician when you have questions or concerns about your health care.
• Adhere to instructions and guidelines given for health care services.
• Cooperate with health care professionals providing service to you, except in those instances when you have exercised your right to refuse service.
• Educate yourself on your health benefits and services and how to correctly obtain them.

Health plan member “Health Care Rights” are listed on the California Department of Managed Health Care's (DMHC) website at the following link: http://www.hmohelp.ca.gov/dmhc_consumer/br/br_rights.aspx.

If you have questions about your benefits, call an Arta Customer Service Representative toll free at 1-800-780-8879, Monday through Friday, 8:00 AM to 4:30 PM, or your health plan's member services department at the telephone number shown on your health plan membership identification card.

The California Department of Managed Health Care is responsible for regulating health plans. The department has a toll-free number (1-888-HMO-2219) to receive complaints regarding health plans. If you have a grievance against a health plan, you should first contact the health plan and use its standard grievance process. You may call the California Department of Managed Health Care for assistance with an emergency grievance or a grievance that has not been satisfactorily resolved by the plan.