Your rights as a member
As a CCA Senior Care Options member, you have the right to privacy, respect, and fair treatment. You also have the right to file a complaint or report fraud.
Learn More About Your Rights and Responsibilities
As a CCA member, you have rights and responsibilities for your health care. To learn more, read the documents below or call Member Services.
Your Rights as a Member – CCA Senior Care Options
Release of Information Instructions
Release of Information (ROI) Form
Authorize Oral Disclosure Instructions
Authorization for Oral Disclosure Form
You can also file a grievance if your rights are not respected. Learn how on the Appeals and Grievances page.
Authorized Representation
These forms let you choose someone you trust to help you. They can help with benefit requests, appeals, grievances, and other issues with CCA. Unlike the Oral Disclosure Form, these forms allow someone to make decisions on your behalf.
The Appointment of Representative (AOR) form lasts one year, or until the request or appeal ends.
The Authorized Representative Designation (ARD) form stays in effect until you choose to change it.
Appointment of Representative Form
Authorized Representative Designation Form
Disenrolling from CCA Plans
You can leave the plan at any time. To learn more, check your Member Handbook. You can also call Member Services.
