Rights and Responsibilities



IMPORTANT UPDATE

AmeriHealth Caritas Iowa Inc. is withdrawing from the IA Health Link managed care program. AmeriHealth Caritas will withdraw from the program effective Nov. 30, 2017. If you are currently an AmeriHealth Caritas member, coverage with your new MCO will begin on December 1, 2017. Check your mail for more information which will arrive soon. Learn more by reading the sample member letter.

For more information, read the Press Release and the hawk-i FAQ.

Updated information will be posted as it is available. Please check back regularly.

Member Rights
  • To receive timely, appropriate, and accessible medical care
  • To obtain a second opinion regarding a medical diagnosis
  • To choose the provider of your choice from the providers available with your MCO
  • To change your MCO as allowed by program policy
  • To appeal a decision that you do not agree with
  • To be treated with respect and dignity
  • To be treated without discrimination with regard to race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, political belief or veteran status
  • To participate in decisions regarding your health care, including the right to refuse treatment 
Member Responsibilities
  • To be knowledgeable about your medical coverage
  • To obtain routine and ongoing care from your provider in an office setting
  • To contact your provider before emergency room visits with the exception of situations requiring emergency care. 
  • To carry your MCO card at all times and present it when accessing medical care. 
  • To call the number on the reverse side of your medical cards if you move or have incorrect information printed on your medical cards
  • To be responsible for any medical bills if you do not present your MCO card at the time of your visit
  • To be responsible for any medical bills for services provided by a practitioner who is not enrolled with your MCO
You Have the Right to Appeal

hawk-i members have the right to file an appeal with their MCO, before filing an appeal with the Department of Human Services (DHS). For benefit or service-related issues, please contact your MCO to learn about your appeal rights with them. If a hawk-i member is dissatisfied with the MCO’s decision, the member can access the State Fair Hearing appeal process through DHS.

Learn more about the appeal process here: Appeals


hawk-i Customer Service (Monday to Friday from 8 a.m. to 6 p.m.)
1-800-257-8563 (Toll Free) 

hawk-i@dhs.state.ia.us
515-457-7701 (Fax)
 
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
 
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.