PPO Members: Know Your Member Rights

This article is intended for PPO members enrolled in an employer health insurance plan.

Below is a list of your member rights and responsibilities. Please be sure to keep this information as a reference.

As a Blue Cross and Blue Shield of Oklahoma (BCBSOK) PPO member, you have the right to:

• Get information about BCBSOK, its services and providers, and your member rights and responsibilities.
• Be treated with respect and dignity and have your privacy protected.
• Be involved in making decisions about your health care and treatment.
• Have a direct conversation about appropriate or medically necessary treatment choices for your conditions, no matter the cost or benefit coverage.
• Make complaints about the organization or the care it provides or appeal a coverage decision.
• Make recommendations about BlueLincs’ member rights and responsibilities policy.

As a BCBSOK PPO member, it is your responsibility to:

• Provide information (to the extent possible) that BCBSOK and its providers need in order to provide your health care.
• Follow treatment plans and instructions for care that you and your providers have agreed on.
• Understand your health problems and work with your providers to make treatment plans and set health goals, as much as possible.

If you have questions about your coverage, please call the toll-free customer service phone number on your member ID card.

Originally published 3/6/2020; Reviewed 2022, 2023, 2024