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Medicaid and CHIP Rights and Responsibilities

Find out your rights and responsibilities.

  • You have the right to Respect and privacy. Be treated with respect and have your information kept private
  • You have the right to Clear information. Get easy-to-understand information about DentaQuest, your benefits and how to get care.
  • You have the right to No discrimination. Be treated fairly no matter your race, color, where you are from, disability, or sex.
  • You have the right to Language help. Get a free interpreter or materials in large print, audio, or other formats.
  • You have the right to take part in your care. Learn about your choices and say yes or no to care.
  • No restraint or seclusion. You cannot be restrained or isolated as punishment.
  • You have the right to see your records. Ask for your records and request corrections.
  • You have the right to Emergency care. Get emergency dental care without approval.
  • You have the right to get a second opinion, even if the doctor is not in our network, at no cost to you. We can help you set up the appointment. Call us at 1-866-629-6074.
  • You have the right to file Complaints and appeals. File a complaint or ask us to review a decision. You may also request a State Fair Hearing.
  • If your dentist leaves the network. You have the right to Get a notice if your regular dentist leaves the plan.
  • You have the right to get services in a way that respects your culture and language.
  • You have the right to receive dental care that follows the rules and regulations.
  • You have the right to learn about all possible treatments for your dental problem, no matter the cost.
  • You have the right to give ideas about how DentaQuest can improve its services.
  • You have the right to get good quality dental care.
  • You have the right to use all of your rights without being treated badly because of it.
  • You have the right to participate fully in your community, work, live, and learn.
  • You have the right to ask to keep your benefits if DentaQuest plans to stop them. You can file a complaint or ask for a hearing to challenge this decision.
     

  • Give correct information. Tell us and your dentist about your health and any other insurance.
  • Use your benefits the right way. Bring your ID card. Do not share it. Report a lost or stolen card.
  • Keep appointments. Be on time or call early to cancel. Follow the care plan you agreed to.
  • Share updates. Tell your dentist if you went to the ER, saw another dentist, or your health changes.
  • Ask for help when you need it, including language or format support.
  • Keep contact information updated. Report address or phone number changes so you do not miss notices.
  • Respect staff. Treat providers and office staff with respect.
  • Ask about approvals. If your dentist suggests a service, ask if it needs pre-approval.
  • Learn basic plan rules. Know the main rules so you can use your benefits the right way.
  • Follow your dentist’s advice. If you cannot, tell your dentist so you can make a new plan together.
  • Speak up. Use the complaint or appeal process if something is wrong.
     
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PREVENTISTRY PULSE

The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.