MetroHealth Care Plus
Rights & Responsibilities
The MetroHealth System assures that no person seeking participation or person currently participating in the MetroHealth Care Plus plan shall have services denied/delayed or otherwise be discriminated against on the basis of race, color, religion, sex, national origin, disability, age or sexual orientation.
You have a right to a hearing if you are not satisfied with the actions taken or decisions on your application. View information on making an appeal.
Report correct and updated information.
You are always responsible for giving complete and correct information about yourself and members of your household. You must include all supporting documentation and verifications with your completed application. You must report to Financial Counseling, within 10 days, any change in your circumstances, such as:
- You move to another address
- Income changes for you or your spouse
- You or your spouse gets or loses a job
- Your child reaches the age of 18
- The birth of a child.
You should also report if anyone in your household (including children) become disabled, is unable to work or has applied for disability benefits (e.g., Social Security Disability, SSI, Workers Compensation, veteran’s benefits.) You should report this information as soon as you become aware of it because it may help the person become eligible for Medicaid benefits.
Provide proof of U.S. citizenship status.
If you or members of your family are applying for MetroHealth Care Plus, you must provide financial counseling with verification of U.S. citizenship for each person you are applying for. Family members who are not U.S. citizens must provide the financial counselor with proof of alien status such as an alien registration card or re-entry permit.
Disclose to the financial counselor any other medical coverage you have or if someone else is legally responsible for paying your medical bills.
MetroHealth Care Plus will not pay medical bills that a private health insurance company is supposed to pay. If you receive money directly from a medical insurance company or third party to cover medical bills that MetroHealth Care Plus has paid for you, The MetroHealth System has the right to get that money back from you.
Cooperate with quality control reviews.
Your name may be picked from a list of all the eligible participants in the MetroHealth Plus Plan to see if you really are eligible for assistance based on the information you provided the financial counselor. If your case is picked, you must cooperate by answering all the questions in order to continue to get medical coverage.