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PRIVACY

We appreciate your interest in us and hope to make your online experience
enjoyable and secure. Your privacy is very important to us and we will make
every reasonable effort to safeguard any information we collect.

TABLE OF CONTENTS

Personal Information (Including Social Security Number) Privacy Protection
Policy HIPAA Notice of Privacy Practices Pharmacy Privacy Notices Contacting the
Privacy Office California Consumer Privacy Act (CCPA) Privacy Notice (Note about
CCPA: This privacy notice is not applicable to Anthem’s health plans. Anthem
health plan members and applicants should refer to the HIPAA Notice of Privacy
Practices.)
 
Life and Disability Privacy Notice
 
Privacy Authorization Forms Contacting You Web Privacy Statement Health
Information Exchanges Consumer Privacy Protection
Privacy Guidance when Selecting Third-Party Apps to Receive Your Information
(Applicable to Medicaid, Medicare, and Federally Qualified Health Plans only)
PERSONAL INFORMATION (INCLUDING SOCIAL SECURITY NUMBER) PRIVACY PROTECTION
POLICY

We are committed to safeguarding the Personal Information we receive from our
customers and associates. We impose standards to maintain the confidentiality of
Personal Information. And we use physical, technical, and administrative
safeguards to protect it.

Personal Information is information that can be connected to you through certain
identifiers which can include: name, Social Security number (SSN), driver’s
license, state identification card, account, credit/debit card, passport or
alien registration numbers — among other items. Personal Information does NOT
include publicly available information that is lawfully made available to the
general public from federal, state or local government records or widely
distributed media.

Our policies prohibit the unlawful disclosure of Personal Information. We share
it externally only where federal and state law allows or requires it.
Internally, it’s our policy to limit the access, use and disclosure of Personal
Information to be in line with the job duties our associates, as well as
applicable law.

If you have questions about this, call Member Services at the toll-free number
on the back of your ID card.

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) NOTICE OF
PRIVACY PRACTICES

Our Notice of Privacy Practices explains how your health information may be used
and/or disclosed and how to access this information in accordance with HIPAA, an
important federal privacy law. The notice reflects our obligations under Federal
and individual State regulations. By law, we’re required to send our
fully-insured health plan members a notice with those details.

These notices generally don’t apply if you’re part of an administrative services
only (ASO) group health plan. To see which type of health plan you have, and
whether this applies to you, check with the person or team that handles your
health plan at your employer.

Anthem Blue Cross and Blue Shield Privacy Practices
Anthem Blue Cross and Blue Shield Privacy Practices - Spanish
Anthem Blue Cross and Blue Shield and its affiliated Healthkeepers, Inc. Privacy
Anthem Blue Cross and Blue Shield and its affiliated Healthkeepers, Inc. Privacy
Practices - Spanish

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) NOTICE OF
PRIVACY PRACTICES
The below Notices of Privacy Practices explain how your health information may
be used and/or disclosed and how to access this information in accordance with
HIPAA, an important federal privacy law. The notices reflect the pharmacy
obligations under Federal and individual State regulations. By law, we’re
required to send our members a notice with those details.

IngenioRx Home Delivery Pharmacy Notice of Privacy Practices
IngenioRx Specialty Pharmacy Notice of Privacy Practices

Contacting the Privacy Office

Contact us if you have a privacy questions or need to report a privacy issue.
Call Member Services at the toll-free number on the back of your ID card. Write
to the Privacy Office at: CO0109-0903, 700 Broadway, Denver, CO 80273.  Email
the Privacy Office at Privacy.Office@anthem.com.

California Consumer Privacy Act (CCPA) Privacy Notice (Note: This privacy notice
is not applicable to Anthem’s health plans. Anthem health plan members and
applicants should refer to the HIPAA Notice of Privacy Practices.)

Privacy Notice for California Residents

Privacy Authorization Forms

We are committed to complying with HIPAA. HIPAA allows us to use and disclose
identifiable health care and demographic information called Protected Health
Information (PHI) for Treatment, Payment and Health care operations (TPO)
purposes. Beyond TPO, you have the right to permit the release of your PHI by
completing a Member Authorization form to define who can see your PHI.

If you would like your PHI disclosed with someone outside our company, fill out
the Member Authorization Form or formulario de autorización miembro (en Español)
and send the form to the address on the back of your ID card. Or, if you do not
have an ID card, call us at 1-317-488-6000. If you don’t already have it,
download Adobe Acrobat Reader for free (you need it to view the forms).

CONTACTING YOU

We, including our affiliates or vendors, might call or text you using an
automated telephone dialing system and/or a prerecorded message. But we only do
this in accordance with the Telephone Consumer Protection Act (TCPA). The calls
may be to let you know about treatment options or other health-related benefits
and services. If you do not want to be contacted by phone, just let the caller
know and we won’t reach out this way in the future. You may also call toll-free
at 1-844-203-3796 to place your phone number on Anthem’s internal Do Not Call
list.

WEB PRIVACY STATEMENT

Your privacy is very important to us and we will make every reasonable effort to
safeguard any information we collect.

What information will we collect?

Information may be collected in the following ways on this website and
Application:

 * If we provide user account access, you may elect to establish an account so
   that you can gain additional access to online service applications, health
   tools, health information, subscriptions or other services where it is
   important for us to know who you are in order to best meet your needs.
   Providing personal information is always voluntary.
 * We may use “cookies” to help us improve this website and Application by
   tracking your navigation habits and to store some of your preferences. A
   cookie is a small file created by a website or application to store
   information on your computer. Cookies do not allow websites or applications
   to gain access to other information on your computer. Once a cookie is saved
   on your computer, generally only the website or application that created the
   cookie can read it.
 * An Internet Protocol (IP) address is a number that automatically identifies
   the computer or mobile device that you are using to access the Internet. The
   IP address enables our server to send you the site pages that you want to
   visit or the data you want to view. The IP address may disclose the server
   owned by your Internet Service Provider. We use your IP address to help
   diagnose problems with our server and to support our administration of this
   website and Application.

How will information be used?

Any personal information that you provide is used for the purpose for which you
provide it. For example, if you use location services to find a provider near
your current location, your location is used only to facilitate that function.
Or if you provide us with an email address we will only use it in a manner
consistent with your consent for us to do so.

We may also gather quantitative user information, such as the number of users
and the pages or data accessed, in order to perform administrative, technical,
hosting or other functions that help us manage our website and Application and
deliver new functionality to you. We do not sell, license, transmit or disclose
personal information that you provide to us to third parties except with the
following exceptions:

 * Upon your authorization;
 * When such disclosure is necessary to allow us and our contractors or agents
   to carry out treatment, payment or health care operations; or
 * When required or permitted by law.

Third parties

We may work with third party service providers who may place third party
persistent cookies, web beacons, or similar technologies to collect anonymous
information about the use of our websites and Applications. They are not
permitted to collect any personal information, and this information will be
solely used for web usage analysis for a better understanding of how you use our
website Application, and/or to customize our content and advertising.

What if I don’t want information about me to be collected?

Providing personal information through this website or Application is optional.
Personally identifiable information will not be collected from you without your
knowledge and approval. You will be told when your failure to provide
information might affect your ability to enroll in or use a product or service.

If you do not wish to have your activity on our website or Application tracked,
you can opt-out at any time here to discontinue first party cookie tracking of
your web activity.

You also have the choice to opt-out of third party cookies, web beacons or
similar technologies, if you do not want third party service providers to
collect your anonymous information for marketing purposes, visit the Network
Advertising Initiative (NAI) website to perform the opt-out.

Additionally, you can direct your Internet browser to notify you and seek
approval whenever a cookie is being sent to your hard drive. You may also delete
a cookie manually from your computer, tablet or smartphone through your Internet
browser settings or other programs. You can also set your browser to refuse all
cookies. Please note that some parts of this website or Application may not
function properly or be available to you, if you refuse to accept a cookie or
choose to disable the acceptance of cookies.

“Do Not Track” Signals

We do not respond to web browser “do not track” signals. As such, your
navigation of our website and Application may be tracked as part of the
gathering of quantitative user information described above. If you arrive at our
website or Application by way of a link from a third party application that does
respond to “do not track” requests, the recognition of any “do not track”
request you have initiated will end as soon as you reach our website or
Application.

Use of email and fax

We may provide email and fax links to further facilitate communication for our
members and their designees and caregivers. Information collected through email
may be shared with our Member Services department, other associates, or third
parties that perform services on our behalf. Unless otherwise noted, email
through our website or Application is not a completely secure and confidential
means of communication. Non-encrypted email may be accessed and viewed by other
Internet users without your knowledge and permission while in transit to us.

Also, if you request that we email or fax information about you to someone using
the email and fax capabilities in this website or Application, that email or fax
may not be completely secure. Please verify email addresses and fax numbers
carefully before submitting such a request.

Linking to Other Sites

From time to time we will provide links to websites or applications not owned or
controlled by us. We do this because we think the information might be of
interest or use to you. A link to a third party website or application does not
constitute or imply endorsement by us. We cannot guarantee the quality or
accuracy of information presented on third party websites or applications. While
we do our best to ensure your privacy, we cannot be responsible for the privacy
practices of third party websites or applications. We encourage you to review
the privacy practices of any website or application you visit.

HEALTH INFORMATION EXCHANGES

We may share your information with health information exchanges (HIE), which
allow doctors, hospitals and payers to view/share your health information
quickly and easily — for treatment, payment or health care operations. These
exchanges can improve the speed, quality, safety and cost of your care. Doctors,
health insurers and others using an exchange like this are required to follow
the privacy and security standards set by state and federal laws.

Anthem receives information from several HIEs. If you want to opt-out of having
health information in these HIEs, you may contact the following:

California: Manifest MedEx

Indiana: Indiana Health Information Exchange  

Maryland: Chesapeake Regional Information Systems for Patients

Michigan and Indiana: Michiana Health Information Network 

Ohio: CliniSync Health Information Exchange 

New York City and Long Island: Healthix 

Nevada: HealtHIE Nevada 

Tennessee: Tennessee eHealth Information Exchange 

Questions

If you have questions regarding this policy or if you would like to review or
change any of your personal information we have on file, please call us at the
number on the back of your ID card.

This privacy statement is effective January 1, 2020 and was most recently
reviewed in December 2020. This privacy statement is subject to change. We
encourage you to review it from time to time.

CONSUMER PRIVACY PROTECTION INFORMATION  
 * Federal Trade Commission (FTC)
 * USA.gov Identity Theft website
 * Consumer.gov Identity Theft website

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