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

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

As a Blue Cross and Blue Shield of Oklahoma PPO Member, you have the right to:

• Have confidentiality of health information.
• Receive medically necessary and appropriate care and service.
• Receive polite and respectful care and services from Blue Cross and Blue Shield of Oklahoma employees and participating health care providers.
• Receive information in clear and understandable terms.
• Participate with your health care provider in decision-making about your treatment.
• Refuse treatment.
• File complaints when unhappy with the care and treatment received.
• Appeal an Adverse Benefit Determination or a decision regarding a preauthorization request, if you feel it is in error.
• Designate an authorized representative to act on your behalf in pursuing a benefit claim or appeal of an Adverse Benefit Determination.

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