Member Rights & Responsibilities

As an MHN managed behavioral health plan member, you have the right to:

• Receive information regarding MHN services and clinical guidelines
• Call MHN for assistance 24 hours a day, 365 days a year
• Call 911 in an emergency
• Receive prompt, competent and courteous treatment from all MHN staff and practitioners
• Ask questions about and see documentation of your practitioner's credentials and experience
• Discuss appropriate or medically necessary treatment options, regardless of cost or benefit coverage and obtain a clear explanation of MHN's criteria for determining medical necessity
• Confidentiality of your medical records to the extent protected by state and federal law
• Obtain an explanation regarding legally required exceptions to confidentiality
• Receive a clear explanation from your practitioner about the recommended treatment plan and length of treatment
• Participate in decision-making regarding your treatment
• Refuse or terminate treatment at any time
• Be treated with respect and recognition of your dignity and need for privacy
• Receive an explanation from your practitioner of any consequences that may result from refusing treatment
• Obtain a clear explanation of MHN's reasons for determining that care is not medically necessary
• Appeal a denial
• File complaints with MHN, the State Department of Insurance, the Department of Managed Health Care, the State Department of Health and Human Services or any other applicable regulatory body
• Suggest ways to improve MHN's member rights & responsibilities policies and procedures
• Receive a complete explanation of your fees and charges
• Receive a clear explanation of your financial responsibility when you use out-of-network providers

As a member, it is your responsibility to:

• Consent to providing information (from you or your provider) needed by MHN and/or your provider to ensure proper treatment.
• Actively participate in developing mutually agreed-upon treatment goals and strategies for achieving those goals
• Follow the plans you have agreed upon with your practitioner
• Cancel appointments within the guidelines described by MHN or your practitioner
• Read your Evidence of Coverage or other material outlining your behavioral health benefits
• Ask questions to ensure your understanding of covered services, limitations and any authorization procedures, and comply with the rules and conditions as stated
• Pay any copayments at the time of service
• Demonstrate courtesy and respect to your practitioner, the practitioner's staff and MHN employees, and expect similar treatment in return

Access to Health Net Out-of-Network Claims Information

Click the appropriate link below if you are a Health Net Member looking for information about Health Net's and MHN's out-of-network claim policies, procedures, services and the rights you may be entitled. (If this is your first time visiting Health Net's website, you will be required to register.)

I am a Health Net of California, Health Net Life Insurance, Helath Net of Oregon, Health Net Connecticut, Health Net of New York or Health Net of New Jersey Class member

I am a Health Net Life Class member with a limited benefit (mental health/substance use only) policy