Want to know how we protect your privacy? Wondering what your rights and your responsibilities are as a BlueShield of Northeastern New York member? You'll find the answers you need to these questions, as well as a variety of others, below.
At BlueShield of Northeastern New York, we're dedicated to ensuring our members are well educated when it comes to issues that impact their health.
In this section, you'll find a variety of information about:
We Keep Your Information Confidential
BlueShield is committed to maintaining the confidentiality of patient information in all situations, such as in your doctor’s office, the hospital, with our employees and everyone we contract with to provide and manage your health care. We will only release such information in accordance with state and federal law and the guidelines established by BlueCross BlueShield. Here’s a summary of some of the guidelines we follow to keep your personal information confidential: Inclusions in routine notifications of privacy practices:
The Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information.
A copy of the Notice of Privacy Practices is now included in your initial enrollment package, or may be viewed from this web site by clicking here. You may also request a copy by calling the telephone number on the back of your identification card.
The right to approve release of information (use of authorizations):
An authorization is not required for treatment, payment or health care operations and in other instances as required by law. An authorization is required for the release of information in certain circumstances.
Access to Medical Records:
BlueShield does not generate or modify, nor do we maintain complete copies of your medical records. We receive copies of your medical records in order to process claims and perform other routine functions in the normal course of business. If you want to obtain copies of your medical records, you should contact the practitioner or facility considered to be the source of these documents.
Protection of oral, written, and electronic information across the organization:
Corporate information assets in oral, written and electronic form are protected by establishing and enforcing corporate security and privacy policies and procedures, implementing security and privacy awareness training for all workforce members, and deploying the appropriate physical, administrative and technical security mechanisms.
Information for employers:
Protected health information is not released to employers unless you have authorized the release and/or the proper agreements are in place as permitted by law. When information is released to employers, it is released with certain restrictions so confidentiality will be maintained. However, enrollment/disenrollment and premium quote information is an allowable disclosure under certain law.
As a member, you have certain rights and responsibilities that will help you make the most of your health benefits.
YOUR MEMBERS RIGHTS
You have the right to:
YOUR PATIENT RIGHTS
As a patient, you have a right to expect the following from your physician or other provider:
Your Member Responsibilities
The Joint Commission's award-winning patient safety program is educational and informative. The topics included are:
More information on The Joint Commission's Speak Up program is available online at: www.jointcommission.org/GeneralPublic/Speak+UP. You can also call 1-877-878-8785 (toll free) and leave a message detailing your request, and a copy of your request will be sent to you.
BlueShield is working with you to keep health care affordable.
Why Are Health Care Costs Rising?
America is spending more on health care; it’s not a temporary phenomenon. Medical expenditures are rising due to:
What Can Be Done
Working together, employers, insurers, providers and consumers can help slow growing costs.
We can help your employees make healthier choices and become smarter healthcare consumers through proactive programs and services like:
We Can Do It Together
There are many ways we can help your employees become better educated about the cost of health care and lead healthier lives. Listed here are just some of the proactive programs BlueCross BlueShield is pleased to offer members as part of their benefits package:
Proactive Health Management Programs
Our programs are designed to help our members manage their health and avoid preventable problems. We offer programs for members with:
We also provide preventive health reminders for:
Health Education and Wellness Seminars
Our wellness programs help members take an active role in getting fit and staying healthy. We have partnered with a number of local community providers to help members:
Let Us Give Your Company’s Benefits Program A Check-up
We’ll show you how proactive health care can lower the costs of your benefits plan. Call 1-888-249-2583 to meet with a representative today.
Department of Health: Office of Minority Health
Find out about the U.S. Department of Health and Human Services' Office of Minority Health (FOMH). Along with health promotion and risk reduction issues of special concern to minority populations, FOMH also offers workshops to organizations.
Multiple Language Health Brochures
Electronic access to over 200 health education brochures in 24 different languages.
This web site provides information in the seven most common languages spoken in the United States. There also are links to 15 additional languages with the respective health-information documents in English.
BlueShield of Northeastern New York has implemented a formal process for reviewing grievances and appeals from our members. This process offers a uniform approach, along with equal treatment of all grievances and appeals.
Click the link below to learn more about our procedure, how to file a grievance, what happens after you file one, and the appeals process.
Grievance Procedure Information