Understanding Your Dignity Health BCBS Health Care Options

Dignity Health BCBS offers a range of health care options to suit different needs and budgets.

You can choose from several plan types, including HMO, PPO, and EPO plans, each with its own set of benefits and limitations.

These plans vary in terms of provider networks, out-of-pocket costs, and coverage for services like prescription medications and hospital stays.

One of the key benefits of Dignity Health BCBS is its extensive network of providers, including primary care physicians, specialists, and hospitals.

Dignity Health BCBS offers a wide range of health plans to fit your needs.

You can find your specific health plan by clicking on your location, which will provide detailed insurance information.

Dignity Health Medical Foundation contracts with most health insurance plans.

This means you can trust that your health plan benefits will be covered when you receive care from Dignity Health Medical Foundation.

Dignity Health has a long history of working with Blue Cross Blue Shield of Arizona (BCBSAZ) to provide quality care to patients in Maricopa and Pinal Counties.

In February 2024, Dignity Health was removed from the BCBSAZ network due to an unresolved contract dispute, leaving many patients without in-network coverage.

Dignity Health's doctors and hospitals rely on fair contracts to cover the increasing costs of providing high-quality care, but BCBSAZ refused to accept their proposals, leading to the termination of the existing agreement.

Dignity Health had offered to extend the negotiation period by two weeks, but BCBSAZ rejected this offer without providing a counter proposal.

Despite the contract dispute, Dignity Health continues to work in the best interests of its patients, hoping to reach a new agreement with BCBSAZ.

In a breakthrough agreement, YRMC/Dignity Health and BCBSAZ reached a new 3-year contract that restores in-network coverage to residents covered under BCBS health plans, effective retroactively to April 1, 2023.

This new agreement is a result of collaborative efforts between YRMC/Dignity Health and BCBSAZ, as well as support from local, county, and state officials, including U.S. Senators Mark Kelly and Kyrsten Sinema, and U.S. Congressman Eli Crane.

Dignity Health Medical Foundation contracts with most health insurance plans, providing health care services that fit patients' health plan benefits, and patients can find their health plan information on the Dignity Health website.

At Dignity Health BCBS, your personal health information is safe with us. We carefully observe all of the laws, regulations, and professional ethics that govern member privacy and the confidentiality of member information.

We don't give out any information that makes it possible to identify any of our members individually. This means your personal health info remains private and secure.

We gather general data about our members and the healthcare services we provide, group it together, and use the information to develop our quality programs and services. This helps us improve healthcare for everyone.

We share the grouped data with healthcare organizations, regulatory agencies, and accreditation organizations, who use it to monitor the delivery of healthcare services to certain populations. This helps ensure everyone receives quality care.

If you want to know how we use your personal health information, we'll tell you. You can also review your own personal health information and amend it if needed. We have a process in place to handle your requests to restrict the uses and disclosures of your protected health information.

As a member of Dignity Health BCBS, you have a set of responsibilities to ensure you get the most out of your health care coverage. Be on time for all appointments and notify the provider's office as far in advance as possible for appointment cancellation or rescheduling.

It's essential to provide the health care provider with complete and accurate information necessary for your care. This includes informing providers of your inability to understand the information given to you.

To ensure your treatment plan is effective, carry out the plan developed and agreed upon by your health care provider and you. If you need care after hours, contact your primary care physician or their covering physician.

Treat the health care providers and staff with respect, and respect the rights, property, and environment of all physicians and DHMN-CC providers, staff, and other members.

To get the most out of your coverage, be familiar with the benefits and exclusions of your health plan coverage. You can contact DHMN-CC's Customer Services Department or the Health Plan Member Services Department for questions and assistance.

Here are your member responsibilities outlined in a concise list:

Remember, the pharmacy network and provider network may change at any time, so stay informed and keep an eye out for notices from Dignity Health BCBS.

As a Dignity Health BCBS member, you have a wide range of rights that ensure you receive respectful and considerate care. You have the right to be treated with respect and dignity.

You have the right to receive complete information about your diagnosis, treatment options, and prognosis in terms you can understand. This allows you to make informed decisions about your care.

You have the right to actively participate in decisions regarding your health care and treatment plan. This includes the right to refuse any procedure or treatment, and you'll receive an explanation of the potential effects on your health.

You have the right to 24-hour access to your primary care physician or covering physician. You can contact them for any care needs outside of regular office hours.

You have the right to examine and receive an explanation of bills generated for services delivered to you. This includes understanding your financial obligations, such as co-payments, deductibles, and co-insurance.

You have the right to express opinions or concerns about Dignity Health BCBS or the care provided. You can contact the Customer Services Department to share your thoughts and recommendations for change.

You have the right to be informed of the member complaint/grievance and appeal process. This ensures you can address any concerns or issues you may have with your care.

Here are your member rights in a concise list: