Member Rights and Responsibilities

You are entitled to important rights as a member of our health insurance plan. Know your Member Rights and Responsibilities:

picture_as_pdf Member Rights & Responsibilities

picture_as_pdf Member Rights & Responsibilities (CHIP)

picture_as_pdf Member Rights & Responsibilities (CHIP - Español)

picture_as_pdf Member Rights & Responsibilities (Medicaid)

picture_as_pdf Member Rights & Responsibilities (Medicaid - Español)

Claims

If you want to submit a claim to Select Health, rather than the provider submitting the claim for you, you may fill out a Claim Reimbursement Form. Follow the instructions on page 2. Generally, claims must be submitted within one year from the date of service, though longer time limits do exist in certain circumstances.

How to File an Appeal

If you disagree with our decision on your claim, you or your authorized representative can submit an Appeal Form to:

Attn: Appeals
Select Health
P.O. Box 30192
Salt Lake City, UT 84130-0192

Exclusions

Certain services may not be covered under your health insurance plan. While each plan may differ, refer to the list of exclusions in our sample plan documents. Already a member? Log in to view your plan specific member materials.

Privacy Practices

Your privacy is important to us. We understand the importance and sensitivity of your personal information. View our Notice of Privacy Practices to learn more.