Your Rights and Responsibilities Regarding Florida Health Insurance
Your Rights and Responsibilities
Your Rights
You have the right to receive a copy of the insurance policy or certificate governing your coverage.
You have the right to receive copies of all forms and applications signed by you or the agent.
You have the right to appeal any denied claims.
Your Responsibilities
You are responsible for reading and understanding your insurance policy.
You are responsible for reading and understanding any "explanation of benefits" forms sent by your insurance company. These forms usually state: "This is not a bill." However, you should still closely study them to make sure you actually received the medical services that your insurance company was billed for.
You are responsible for reporting suspected fraud to DFS. If you suspect a crime has occurred, call our Fraud Hotline toll-free at 1-800-378-0445.
You are responsible for making sure your application is accurate. This includes information on pre-existing conditions. If you make a fraudulent or unintentional misstatement on your application, the company may cancel your policy or refuse to pay a claim.
You are responsible for knowing what your policy covers and excludes.
You are responsible for paying your premiums, even while involved in a dispute with your company.
You are responsible for paying the deductibles outlined in your policy.
You are responsible for verifying licenses of an insurance agent and company by calling the Consumer Helpline toll-free at 1-877-MY-FL-CFO (1-877-693-5236).
Remember, a business card is not a license!
Resources:
- » How Medicare Deals with and Prevents Fraud for its Beneficiaries
- » Medicare Appeals, Accountability and Errors
- » Getting Medicare Help and Counceling
- » Medicare Health Insurance Chapter Summary
- » Medigap and Secondary Health Insurance Policies
Articles:
- » Description of Basic Medigap Supplemental Insurance Plans
- » Information on Specific Medigap Supplemental Insurance Plans
- » Where One is Eligable or Ineligible for Specific Medigap Programs
Florida Health Guide Pages:
- » Florida Health Insurance: A Guide for Consumers
- » Information on Florida Health Insurance, & Health Insurance Plans
- » Types of Managed Florida Health Insurance Care Plans
- » Types of Traditional Florida Health Insurance Care Coverage
- » Types of Major Florida Medical & Health Insurance Coverage
- » Self-Employed Florida Health Insurance Plans
- » Other Health-Related Policies Used With Florida Health Insurance
- » Other Types of Supplemental Florida Health Insurance Plans
- » Continuation of Florida Health Insurance Coverage
- » Portability Regarding Florida Health Insurance
- » More Information on Florida Health Insurance Coverage Continuation
- » Comparing Florida Health Insurance & Health Care Options
- » Questions and Answers about Florida Health Insurance Premiums
- » Renewable Conditions & Premium Increases for Florida Health Insurance Policies
- » Consumer Tips for Buying Florida Health Insurance
- » Florida Health Insurance Coverage for Alternative Therapies, Claims & Choosing a Insurance Company
- » Selecting a Florida Health Insurance Agent, Medical Information Bureau
- » Your Rights and Responsibilities Regarding Florida Health Insurance
- » Dealing with Fraud and Discrimination Regarding Florida Health Insurance
- » Florida Health Insurance Glossary of Terms
- » Levels of Nursing Care Covered by Florida Health Insurance
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