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For Members

Manage Your Privacy & Confidentiality

Authorization to Disclose Protected Health Information

Privacy laws prohibit us from disclosing protected health information (PHI) related to your health insurance coverage to another person or organization (with some exceptions, like your physician) without your written authorization. Our Privacy Policy describes other exceptions that may apply.

Releasing Your Information to Others

If you or a family member (age 18 or older) wish to designate another individual to receive information related to your health insurance and protected health information, you can complete the authorization online or by mail:

Enter or Update Authorizations

Or use these forms to Submit Authorizations by Mail:

Accessing Your Protected Health Information

Request a copy of your PHI to view or to request a change.

Disclosure Accounting

Request a list of instances your PHI was disclosed (with some exceptions).

Confidential Communications

Request that we communicate with you at an alternate address (if you are endangered).

For more information about our Privacy Practices, call Customer Services at the phone number printed on your Member ID Card. Follow this link to File a Complaint about Our Privacy Practices.

Confidentiality for Victims of Domestic Violence

Per NY Insurance Law §2612, if we receive a copy of a valid order of protection against the policyholder of the policy under which you are covered, or against another person covered under the same group policy that you are, we will not, for the duration of the order, disclose to that person your address or phone number, or the address or phone number of your providers. For more information, see NY Insurance Law §2612.

Also, you have the right to request to receive communications about claims-related information by alternative means or at an alternative location if disclosure of such information would endanger your safety or your child’s safety. Please click here to complete our Confidential Communication Request form. To revoke this form, please contact the number on your identification card.

Victims of Domestic and Sexual Violence can contact the NYS Domestic and Sexual Violence Hotline at 1-800-942-6906.