Your session is about to expire

Your session will automatically expire in  seconds.

   
Skip Navigation Links

 

Explore healthy choices with Blue365

We designed Blue365 to support you as you make healthy decisions every day and throughout your life.  So before we get started, please take a moment to read the following.  We want to make sure you understand, and feel good about, any and all information related to the program.

Authorization to see more of Blue 365

By clicking the “I AGREE” button, below, I authorize Blue Cross Blue Shield of Montana (BCBSMT) to disclose to Blue Cross and Blue Shield Association (“BCBSA”):

  • The fact that I am enrolled in a BCBSMT product and my IP address.
  • This authorization does not permit BCBSMT to disclose any other information.

I understand that BCBSA needs to know I am enrolled in a BCBSMT product to make discounts available to me.

Once I click on a link to visit BCBSA’s Blue365 web site, the fact that I am enrolled in a BCBSMT product and my IP address will be disclosed to BCBSA.  Although BCBSMT will not give BCBSA my name or any other information about me, I understand that BCBSA’s Blue365 web site is not subject to federal health information privacy laws and, therefore, could re-disclose the fact that I am enrolled in a BCBSMT product and my IP address (subject to its privacy policies and any applicable state laws). I acknowledge that the Blue 365 web site includes products and services that are not health related. 

This authorization is voluntary. BCBSMT will not condition my enrollment in a health plan or eligibility or payment for benefits on receiving this authorization.  I revoke this authorization and it expires immediately when I close the browser window after using the Blue 365 web site.  When I revoke this authorization, the revocation will not affect any disclosure of the fact I am enrolled in a BCBSMT product that BCBSMT made before the revocation.  BCBSA may receive payment from vendors under the Blue 365 program.

I have had full opportunity to read and consider the contents of this authorization.  I understand that, by clicking on the “I AGREE” button, below, I am confirming my authorization for the use and disclosure of information about me, as described in this form.

I Agree

 
Linked In
Follow us on TwitterFind us on Facebook     A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield
     Association.   © Copyright 2013 Health Care Service Corporation. All Rights Reserved
Member Blue 365 Disclaimer