You have rights when in the care of a paid caregiver.
Tell us right away if you think a caregiver has hurt or harmed you or another Highmark Health Options Duals member.
Report a critical incident
Call us Monday–Friday, 8 a.m. - 5 p.m.
Duals Member Services: 1-855-401-8251 (TTY: 711)
Member Services: 1-844-722-5837 (TTY 711)
There are many kinds of wrong actions that harm both adults and children. These actions are critical incidents.
Basic needs are the things we need to live day-to-day, like:
Physical harm may include:
Actions like these may cause mental harm:
Financial harm may be caused by:
As a reminder, these are examples. If something happens that doesn’t seem right, it could be a critical incident. Wrong actions are critical incidents.
Call us Monday-Friday, 8 a.m. - 5 p.m.
Duals Member Services: 1-855-401-8251 (TTY: 711)
Member Services: 1-844-722-5837 (TTY 711)
Check your Medicare D-SNP benefits documents or Medicaid or WVCHIP Member Handbook
To find an in-network provider, search your Medicare D-SNP Provider Directory or Medicaid Provider Directory.