In this section, you will find the materials and information you need to know and exercise your rights and responsibilities as a member of our plan. These materials are based on Medicare regulations and will help you make informed decisions about your health and coverage.
Appointment of Representative
Enrolling in a plan
Grievances, Organization Determinations, and Appeals
If you have a problem or dissatisfaction with our plan, with one of our providers, or with coverage or payment for a service or drug, you can file a grievance, request an organizational determination, or appeal a decision. Here's what they are and how to do it:
Grievance
Determination of the organization
Appeals
Non-Discrimination and Language Assistance
Rios Southwest Medical Group and its affiliates are dedicated to implementing multicultural principles and practices throughout our organizational systems, services, and programs. Our commitment is to mitigate healthcare disparities and enhance accessibility by delivering high-quality, culturally competent healthcare. A fundamental aspect of this commitment is our aspiration to provide exceptional healthcare to our members, irrespective of their ethnicity, culture, religious beliefs, or language.