WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 78 Part 8 Other Health Plan Provisions Access to and Confidentiality of Medical Records Blue Cross Blue Shield HMO Blue and health care providers may, in accordance with applicable law, have access to all of your medical records and related information that is needed by Blue Cross Blue Shield HMO Blue or health care providers. Blue Cross Blue Shield HMO Blue may collect information from health care providers or from other insurance companies or the plan sponsor (for group members). Blue Cross Blue Shield HMO Blue will use this information to help them administer the coverage provided by this health plan and to get facts on the quality of care that is provided under this and other health care contracts. In accordance with law, Blue Cross Blue Shield HMO Blue and health care providers may use this information and may disclose it to necessary persons and entities as permitted and required by law. For example, Blue Cross Blue Shield HMO Blue may use and disclose it as follows:  For administering coverage (including coordination of benefits with other insurance plans); managing care; quality assurance; utilization management; the prescription drug history program; appeal and claims review activities; or other specific business, professional, or insurance functions for Blue Cross Blue Shield HMO Blue.  For bona fide medical research according to the regulations of the U.S. Department of Health and Human Services and the U.S. Food and Drug Administration (FDA) for the protection of human subjects.  As required by law or valid court order.  As required by government or regulatory agencies.  As necessary for the operations of Blue Cross and Blue Shield of Massachusetts, Inc.  As required by the subscriber’s group or by its auditors to make sure that Blue Cross Blue Shield HMO Blue is administering your coverage in this health plan properly. (This applies only when you are enrolled in this health plan as a group member.) Blue Cross Blue Shield HMO Blue will not share information about you with the Medical Information Bureau (MIB). Blue Cross Blue Shield HMO Blue respects your right to privacy. Blue Cross Blue Shield HMO Blue will not use or disclose personally identifiable information about you without your permission, unless the use or disclosure is permitted or required by law and is done in accordance with the law. You have the right to get the information Blue Cross Blue Shield HMO Blue collects about you. You may also ask Blue Cross Blue Shield HMO Blue to correct any of this information that you believe is not correct. Blue Cross Blue Shield HMO Blue may charge you a reasonable fee for copying your records, unless your request is because Blue Cross Blue Shield HMO Blue is declining or terminating your coverage in this health plan. Important Notice: To get a copy of Blue Cross Blue Shield HMO Blue’s Commitment to Confidentiality statement (“Notice of Privacy Practices”), call the Blue Cross Blue Shield HMO Blue customer service office. (See Part 1.) Acts of Providers Blue Cross Blue Shield HMO Blue is not liable for the acts or omissions by any individuals or institutions that furnish care or services to you. In addition, a health care provider who participates in your health care network and has a payment agreement with Blue Cross Blue Shield HMO Blue or any other health care

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