PRIVACY PRACTICES NOTICE AND FORMS
Privacy Practices Notice
Blue Cross and Blue Shield of Montana (BCBSMT) is required by federal and state law to provide our plan members with a notice about how we can use and disclose their personal health and financial information. Please note: Those who are covered by a self-funded group health plan should receive a Privacy Practices Notice from their employer. Contact your employer to request a copy.
- View the BCBSMT Privacy Practices Notice
(This notice is different than the website Privacy Statement.)
As described in the Privacy Practices Notice, you have certain rights related to your privacy. In order to exercise one of these rights, please print out a form from the list below. Once you complete the form, sign and mail it to the address shown on that form. You can also call the number on the back of your member ID card to ask for a copy of the form you want.
Privacy Questions or Concerns
Do you have questions or concerns about your privacy rights? Call the number on the back of your member ID card, or call us at 877-361-7594. You may also write to:
P.O. Box 804836
Chicago, IL 60680-4110