All PlansAdministrativeLow impact
Take Note of Member Rights and Responsibilities
HealthSpring·Provider News
Effective date
Aug 13, 2026
We identified it
Aug 14, 2026
Summary
HealthSpring has published a policy clarifying member rights and responsibilities effective immediately. This is an informational policy that outlines patient protections (dignity, privacy, access to care, informed decision-making, advance directives, complaint/appeal rights) and member obligations (provide information, follow care plans, participate in treatment goals). Billing teams should ensure providers are aware of these rights to avoid compliance issues and member disputes.
Action Required
By August 20, 2026: Billing and front-desk staff should review this policy and be prepared to answer member questions about their rights (access to records, coverage information, appeals processes). Ensure all patient-facing materials and intake forms reflect these member rights. No billing workflow changes required, but staff should reference the Evidence of Coverage when members ask about coverage details or costs. Post this policy summary in provider break rooms and share with clinical staff to ensure compliance with member rights obligations.