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Anthem blue cross health insurance California Article

Monday, September 14, 2009

Anthem Blue Cross California Rights and Obligations

No Obligation Review Period

After you enroll in an Anthem Blue Cross health plan, you will obtain an Evidence of Coverage policy booklet that explains the exact terms and conditions of coverage, including the plan's exclusions and limitations. You have 10 full days to examine your plans features. During that time, if you are not fully satisfied, you may decline by returning your Evidence of Coverage booklet along with a letter notifying us that you wish to discontinue coverage. Evidence of Coverage booklets are available for you to examine prior to enrolling. Ask your agent or Anthem Blue Cross.

Guarding Your Privacy

Anthem Blue Cross is fully devoted to protecting our members privacy. Our complete Notice of Privacy Practices provides a comprehensive overview of the policies and practices we enforce to preserve our members privacy rights and control use of their health care information, including: the right to authorize release of information; the right to limit access to information; protection of oral, written and electronic information; use of data; and information share with employers.

Grievances

All complaints and disputes concerning to your coverage must be resolved in accordance with Anthem Blue Cross grievance procedure. Grievances may be made by telephone or in writing; the phone number and address are located on your Anthem Blue Cross ID card. All grievances received by Anthem Blue Cross will be answered in writing, together with a description of how Anthem Blue Cross proposes to resolve the grievance.

Third-Party Liability

Anthem Blue Cross of California is entitled to repayment of benefits paid if you recover damages from a legally liable third party. Examples of third-party liability include car accidents and work-related injuries.


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