Every member has the right to:

1. Receive dignified, respectful, courteous, and considerate treatment by all staff;

2. Receive information and communications in a language that he/she understands, to include information about Monarch HealthCare, its services, its practitioners and providers, and member rights and responsibilities;

3. Make recommendations to Monarch HealthCare regarding its members’ rights and responsibilities policies;

4. Receive preventative health services;

5. Be informed of all health services available to them;

6. Know and understand his/her medical problem and treatment plan;

7. Receive a response to a request for service, including evaluations and referrals, within 30 days. Urgent conditions shall receive a response within 24 hours;

8. Question his/her medical treatment and participate in decisions regarding the treatment plan;

9. Obtain a second opinion;

10. Be fully informed of all processes and procedures, including appeals and grievances, with his/her health network;

11. Have the confidentiality of his/her medical records protected;

12. Have a medical complaint/grievance referred directly to his/her health network Quality Management Department, in order to protect the information in his/her medical record;

13. Be represented by parents, guardians, family members or other conservators, should the member be unable to make treatment decisions himself/herself.

Every member shall have the responsibility to:

1. Learn about his/her medical condition and what keeps him/her healthy;

2. Actively participate in the health care programs that keep him/her well;

3. Inform his/her PCP of his/her medical condition;

4. Follow the treatment plan prescribed by his/her PCP;

5. Make and keep appointments for check-ups when he/she is sick, and inform the PCP’s office when an appointment must be cancelled.

6. Be cooperative and courteous to the people who are partners in his/her health care; and

7. Carefully review, understand, and follow the guidelines in the Evidence of Coverage (EOC)/member booklet provided to the member.


How to Join Monarch

Under 65?

A family that enjoys the healthcare services we offer in Irvine, CA

For Individuals, Families and Groups, get the choices and access you look for in a PPO, with the savings and care of an HMO.



Over 64?

If you are a Medicare recipient, or will turn 65 soon, learn about your Medicare options from the experts.


I'm under 65

How to Join Monarch

For Individuals, Families and Groups,

Full Article

Monarch CareFinderTM App

Download our FREE Mobile app that instantly locates the nearest physician offices, urgent care, labs & radiology and 24-hour pharmacies.

Go to the iPhone or Android app stores, or you can simply scan the code here.

I'm under 65

How to Join Monarch

For Individuals, Families and Groups,

Full Article

Poll Question

Q - Which service provided by Monarch is most important to you?
View Result