If you are still not satisfied, file a grievance with your HMO and file a fair hearing with the Department of Welfare. You can obtain free help with this by calling the consumer advocates on the attached brochure. Children under the age of 21 have a right to any medically necessary service or equipment. The MHO should not limit the amount, the type or the length of care for any medically necessary service. This includes eye glasses, braces, hearing aids, etc. 5.
Consumers have the right to early primary care.
HMO's should be calling parents within 45 days of enrollment to arrange an appointment for their children. Persons with HIV disease should be called within 7 days to arrange an appointment. Using a Specialist as Your primary Care Physician. Also, the HMO's must provide a pediatrician as the primary care physician for children, if requested by the parent. You will automatically be enrolled for behavior health care when you enroll for HealthChoices.