2 ·
My Health
We may collect, use and share nonpublic personal information (PI) as described
in this notice (newsletter). Your PI tells us who you are and is often gathered in an
insurance matter.
•
•
We may use your PI to make judgments about your health, habits and hobbies.
•
•
We may collect PI about you from other persons or groups such as doctors,
hospitals or other carriers.
•
•
We may share PI with persons or groups outside of our company without your OK in
some cases.
•
•
We will contact you if we take part in an action that would require us to give you a
chance to opt out.
•
•
We will tell you how you can let us know that you do not want us to use or share
your PI for a given action.
•
•
You have the right to access and correct your PI.
•
•
We take safety measures to protect the PI we have about you.
You can ask for a state notice that is more detailed. Please call the Customer Care
Center (CCC) at
1-866-408-6131
or the CCC TTY number at
1-866-408-7188
(for
members with hearing or speech loss).
Your personal information
New treatments
and procedures
We work to stay informed about medical
advances. So we make policies to address
new drugs, devices and treatments. Teams
of health care professionals look at
medical, behavioral health and drug
policies all the time.
To make decisions about what medical
technology will be covered, we consult:
•
•
Medical journals.
•
•
Government policies and procedures.
•
•
Doctors and health experts.
•
•
The latest medical studies.
You can fnd more about this in your
Member Handbook.
Anytime, day or night, you can fnd
information on our website. Just log
on to
anthem.com
. You can learn:
•
About your benefts for diferent
services. Tese could include primary
and specialty care, behavioral health
and hospital services.
•
How to see your PMP and get care.
•
How to learn about providers in
your area.
•
What to do when you are out of
the plan’s service area.
•
How to get information about
accessing emergency care and
911 services.
•
How to access care after normal
ofce hours.
•
How to fle a claim for
covered services.
•
How to voice a complaint or
appeal a decision. Tis includes
your right to an independent
external appeal.
•
About your rights and
responsibilities as a member.
•
About our Quality Improvement
(QI) programs. You can see how
we use this information to review
and help improve the quality of our
benefts and services.
Just a click away
•
How to ask for Advance Directives
(Living Wills).
•
Information you can ask for and
get every year, including a new
provider directory.
Need information
specifc to your policy?
Register on the member website to:
•
Learn about your copays and the
costs you will have to share (if any).
•
View existing claims.
•
Change your PMP (if it applies to
your health plan).
•
Order a new member ID card.
•
Get other specifc information.
Or you can refer to your Member
Handbook to fnd information
about the benefts and services
covered under your plan. Your
handbook also has any benefts that
are not covered or are limited. Tese
include benefts that may not be
covered if you get services outside
your plan’s service area.
If you need a copy of the information
on the web or in your Member
Handbook, call us at the number on
your member ID card.