Quality Improvement Program

Get the Most from Your Coverage

It’s all part of my plan.

You Deserve Quality Healthcare. And you also deserve to have the information you need to get the most from your coverage. Goals for quality are set and reviewed by your health plan to make sure you get the care you need.

This information is part of a Quality Program designed to improve the services and care you receive. It provides details about your coverage and services available to you. 

Contact Member Services to learn more about the Quality Program.


Being a member means there are things you should expect from your health plan. These are some of your rights:

  • You should have access to all the services available to members
  • You should be treated with courtesy and respect
  • You should be able to get a copy of your medical record
  • You should know your medical data will be kept private. There are policies in place to guard your health records and protected health information.

It’s also important to know what you can do to get the most from your coverage:

  • Ask questions if you don’t understand your rights
  • Be sure to keep your scheduled appointments
  • Keep your Member ID Card with you so you have it at appointments
  • Tell your doctor if you have gotten care in an emergency room.

The full list of rights and responsibilities is in your Member Handbook.




Your Member Handbook is a great source for information about your coverage and benefits. It also lists important phone numbers.

You can also contact Member Services for additional help at 1-855-694-HOME (4663). Translation services are available if you need them.

Contact Member Services to get:

  • A paper copy of your Member Handbook, Privacy Notice or anything on your health plan website
  • Help finding a doctor and making an appointment
  • Help speaking with a care manager
  • Help with an appeal for a service that’s been denied
  • Help with a ride to your appointment if eligible for transportation

Your health plan website also has a lot of helpful information. Visit it to find the Member Handbook, and Find-a-Provider tool. You can also use it to help you manage your health.

Creating an online member account is free and easy. With it, you can:

  • Find or change your PCP
  • Request a new Member ID Card or print a temporary ID Card
  • View and update your personal information

You can also send a message directly to your health plan from your member account.

HEDIS/CAHPS Results 2017+2018+2019 (PDF)


Approval Date: 11/17/2021

Approval Code: HSH22098