Notice of Privacy Practices

Important information about your rights and our responsibilities

Protecting your personal health information is important. Each year, we’re required to send you specific information about your rights and some of our duties to help keep your information safe. This notice combines the following required yearly communications:

- State notice of privacy practices.
- Health Insurance Portability and Accountability Act (HIPAA) notice of privacy practices.
 

State notice of privacy practices


When it comes to handling your health information, we follow relevant state laws, which are sometimes stricter than the federal HIPAA privacy law. This notice:

- Explains your rights and our duties under state law.
- Applies to any health, dental, vision and life insurance benefits and treatment by your preferred pharmacy/Infusion providers that you may have.

Your state may give you additional rights to limit sharing your health information. Please email PrivacyOffice@elevancehealth.com for more details.
 

Your personal information


Your nonpublic (private) personal information (PI) identifies you. You have the right to see and correct your PI. We may collect, use and share your PI as described in this notice. Our goal is to protect your PI because your information can be used to make judgments about your health, finances, character, habits, hobbies, reputation, career and credit.

We may receive your PI from others, such as hospitals, insurance companies, or other providers. We may also share your PI with others outside our company — without your approval, in some cases. But we take reasonable measures to protect your information. If an activity requires us to give you a chance to opt out, we’ll let you know, and we’ll let you know how to tell us you don’t want your PI used or shared for an activity you can opt out of.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
 

HIPAA Notice of Privacy Practices


We keep the health and financial information of our current and former patients private as required by law and our own internal rules. We’re also required by federal law to give you this notice to explain your rights and our legal duties and privacy practices.

Your Protected Health Information

There are times we may collect, use, and share your Protected Health Information (PHI) as allowed or required by law, including the HIPAA Privacy rule. Here are some of those times:

Payment: We collect, use, and share PHI to get payment for the medical care you receive from us or share information with the doctors, clinics, pharmacies, infusion centers, and others who bill for your care.

Healthcare operations: We collect, use, and share PHI for our healthcare operations.

Treatment activities: We collect, use, and share PHI to provide the care, medicine, and services you need or to help doctors, hospitals, pharmacies, infusion centers, and others get you the care you need. Examples of ways we use your information:

- We may share PHI with your other doctors or your hospital so that they may treat you.
- We may use PHI to review the quality of care and services you get.
- We may use PHI to help you with services for conditions like asthma, diabetes, or traumatic injury.
- We may collect and use publicly and/or commercially available data about you to support you and help you get available health services.
- We may use PHI with technology to support and enable services provided to you.
- We may use your PHI to create, use or share de-identified data as allowed by HIPAA.
- We may also use and share PHI directly or indirectly with health information exchanges for payment, healthcare operations and treatment. If you don’t want your PHI to be shared in these situations, contact PrivacyOffice@elevancehealth.com for more information.
- We may also send you reminders about routine medical checkups, medicine adherence and tests.
- We may share your information in an emergency or disaster relief situation.

Sharing your PHI with you: We must give you access to your own PHI. You may get emails that have limited PHI, such as appointment reminders, refill reminders, or welcome materials. We’ll ask your permission and preferences for how we contact you.

Sharing your PHI with others: In most cases, if we use or share your PHI outside of treatment, payment, operations, or research activities, we have to get your permission in writing first. We must also get your written permission before:

- Using your PHI for certain marketing activities.
- Selling your PHI.
- Sharing any psychotherapy notes from your doctor or therapist.

You have the right and choice to tell us to:

- Share information with your family, close friends or others involved with your current treatment or payment for your care.
- Share information in an emergency or disaster relief situation.

If you can’t tell us your preference, for example in an emergency or if you’re unconscious, we may share your PHI if we believe it’s in your best interest. We may also share your information when needed to lessen a serious and likely threat to your health or safety.

Other reasons we may use or share your information:

We are allowed, and in some cases required, to share your information in other ways - usually for the good of the public, such as public health and research. We can share your information for these specific purposes:

Helping with public health and safety issues, such as:

- Preventing disease.
- Helping with product recalls.
- Reporting adverse reactions to medicines.
- Reporting suspected abuse, neglect, or domestic violence.
- Preventing or reducing a serious threat to anyone’s health or safety.
- Doing health research.
- Obeying the law, if it requires sharing your information.
- Responding to organ donation groups for research and certain reasons.
- Addressing workers’ compensation, law enforcement and other government requests, and to alert proper authorities if we believe you may be a victim of abuse or other crimes.
- To work with a medical examiner or funeral director.
- Responding to lawsuits and legal actions.
- Responding to the Secretary of Human and Health Services for HIPAA rules compliance and enforcement purposes.

Authorization: We’ll get your written permission before we use or share your PHI for any purpose not stated in this notice. You may cancel your permission at any time, in writing. We will then stop using your PHI for that purpose. But if we’ve already used or shared your PHI with your permission, we cannot undo any actions we took before you told us to stop.

Substance Use Disorder (SUD) Information. We may receive SUD information from Providers or programs regulated by federal law (42 CFR Part 2). All disclosures of SUD information must comply with all applicable Federal and State privacy laws. We are allowed to Use and Disclose SUD information for certain Treatment, Payment, and Health Care Operations activities. You have the right to consent to Disclosure of SUD information in certain circumstances. You can revoke this consent in writing at any time.

Reproductive Health Care Information. We are not allowed under federal law to disclose Reproductive Health Care (RHC) PHI in certain circumstances. RHC PHI includes but is not limited to information related to the reproductive health of an individual such as information pertaining to birth control, pregnancy, pregnancy termination, or other matters related to the reproductive health system. We cannot Use or Disclose RHC PHI when the information would be used to impose a criminal or civil penalty or identify or investigate a person for obtaining, providing, or facilitating RHC when the services were lawful under the circumstances it was provided and for certain other disclosures an attestation of compliance may be required.

Race, ethnicity, language, sexual orientation, and gender identity: We may collect, infer, receive and/or maintain race, ethnicity, language, sexual orientation and gender identity information about you and protect this information as described in this notice. We may use this information to help you, including identifying your specific needs, developing programs and educational materials and offering interpretation services. We don’t share this information with unauthorized persons.
 

Your rights


Under federal law, you have the right to:

  • Send us a written request to see or get a copy of your PHI, including a request for a copy of your PHI through email. Remember, there’s a risk your PHI could be read by a third party when it’s sent unencrypted, meaning regular email. So, we will first confirm that you want to get your PHI by unencrypted email before sending it to you. We will provide you a copy of your PHI usually within 30 days of your request, unless a more stringent state requirement applies. If we need more time, we will let you know.
  • Ask that we correct your PHI that you believe is wrong or incomplete. If someone else, such as another doctor, gave us the PHI, we’ll let you know so you can ask him or her to correct it. We may say “no” to your request, but we’ll tell you why in writing within 60 days.
  • Send us a written request not to use your PHI for treatment, payment or healthcare operations activities. We may say “no” to your request, but we’ll tell you why in writing.
  • Request confidential communications. You can ask us to send your PHI or contact you using other ways that are reasonable. Also, let us know if you want us to send your mail to a different address if sending it to your home could put you in danger.
  • Send us a written request to ask us for a list of those with whom we’ve shared your PHI. We will provide you a list usually within 60 days of your request. If we need more time, we will let you know.
  • Ask for a restriction for services you pay for out of your own pocket: If you pay in full for any medical services out of your own pocket, you have the right to ask for a restriction. The restriction would prevent the use or sharing of that PHI for treatment, payment or operations reasons. If a law requires sharing your information, we don’t have to agree to your restriction.
  • Contact PrivacyOffice@elevancehealth.com to use any of these rights. A representative can give you the address to send the request. They can also give you any forms we have that may help you with this process.
     

How we protect information


We’re dedicated to protecting your PHI, and we’ve set up a number of policies and information practices to help keep your PHI secure and private. If we believe your PHI has been breached, we must let you know.

We keep your oral, written and electronic PHI safe using the right procedures, and through physical and electronic ways. These safety measures follow federal and state laws. Some of the ways we keep your PHI safe include securing offices that hold PHI, password-protecting computers, and locking storage areas and filing cabinets. We require our employees to protect PHI through written policies and procedures. These policies limit access to PHI to only those employees who need the data to do their jobs. Employees are also required to wear ID badges to help keep unauthorized people out of areas where your PHI is kept. Also, where required by law, our business partners must protect the privacy of data we share with them as they work with us. They’re not allowed to give your PHI to others without your written permission, unless the law allows it and it’s stated in this notice.
 

Potential impact of other applicable laws


HIPAA, the federal privacy law, generally doesn’t cancel other laws that give people greater privacy protections. As a result, if any state or federal privacy law requires us to give you more privacy protections, then we must follow that law in addition to HIPAA.
 

To see more information


To read more information about how we collect and use your information, your privacy rights, and details about other state and federal privacy laws, please visit the privacy webpage at https://www.carelon.com/privacy.
 

Calling or texting you


We, including our affiliates and/or vendors, may call or text you by using an automatic telephone dialing system and/or an artificial voice. But we only do this in accordance with the Telephone Consumer Protection Act (TCPA). The calls may be about treatment options or other health-related benefits and services for you. If you don’t want to be contacted by phone, just let the caller know or contact PrivacyOffice@elevancehealth.com to add your phone number to our Do Not Call list. We will then no longer call or text you.
 

Complaints


If you think we haven’t protected your privacy, you can file a complaint with us by contacting PrivacyOffice@elevancehealth.com. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html . We will not take action against you for filing a complaint.
 

Contact information


You may contact PrivacyOffice@elevancehealth.com to apply your rights, file a complaint or talk with you about privacy issues.
 

Effective date of this notice


The original effective date of this Notice was April 14, 2003. The most recent revision is June 1, 2025.
 

It’s important we treat you fairly


We follow federal civil rights laws in our health programs and activities. We don’t discriminate, exclude people, or treat them differently based on race, color, national origin, sex, age or disability. If you have disabilities, we offer free aids and services. If your main language isn’t English, we offer help for free through interpreters and other written languages. Call your clinic for help (TTY/TDD:711).

If you think we failed to offer these services or discriminated based on race, color, national origin, age, disability, or sex, you can file a complaint, also known as a grievance. You can file a complaint through one of these ways:

Get help in your language


One more right that you have the right to get this information in your language for free. If you’d like extra help to understand this in another language, call your clinic for help.(TTY/TDD: 711).

Aside from helping you understand your privacy rights in another language, we also offer this notice in a different format for members with visual impairments. If you need a different format, please call your clinic for help.