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HIPAA

Although Highmark Blue Cross Blue Shield makes reasonable efforts to protect your information from unauthorized use or alteration, you should be aware there is always some risk in sending information over the Internet. If you are submitting personal information such as your Member ID number or other information you would like to keep private, you can elect to cancel this request. If you elect to cancel this request and you still need assistance, please contact customer service at: 1-800-204-1557.

What is HIPAA?    HIPAA Certificate Request    HIPAA Certificate Status

HIPAA Certificate Request

To request a HIPAA certificate, please complete the first section of the form and click on the Send button.

If you do not have the required information, please call Member Service using the telephone number listed on the back of your identification card or at the bottom of this form.

Required information is marked with an asterisk(*).

*Please indicate type of request

Please provide information about the participant or policy holder:

(This number will be listed on the front of your
Identification card)

(use mm/dd/yyyy format)

In order to protect the privacy of your "personal health information", the address in this field must match
the address indicated in our membership record. If you have changed your address or would like the request mailed to a third party, please contact customer service at: 1-800-204-1557.



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HIPAA Certificate Status

To check the status of the request you filedfor a HIPAA certificate, please complete this section of the form and click Submit. Please use the participant's or policyholder's Member ID:

Required information is marked with an asterisk (*).


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What is HIPAA, and how can this federal law affect me?

HIPAA is the Health Insurance Portability and Accountability Act of 1996 , a federal law that includes protection for working Americans and their families who have pre-existing medical conditions or might suffer discrimination in health coverage based on a factor that relates to an individual's health. It became effective in July 1997.

HIPAA does the following:


Issuance and acceptance of HIPAA's Certificates of Prior Creditable Coverage

HIPAA certificates will be issued automatically for members once we have received notification of termination from the group. Click here to request a certificate.


Conversion from Group to Individual Coverage

HIPAA does not impact the normal conversion products offered to members when they terminate from group coverage.

However, a HIPAA individual product is available to individuals who can provide evidence of 18 months or more of prior creditable coverage.

For more information or to determine your eligibility for this product, contact the Individual Health Products Service Department at 1-800-544-6679.

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Obtain detailed HIPPA infomation.

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Important Legal Information: Highmark Blue Cross Blue Shield is an Independent Licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield plans. Highmark Blue Cross Blue Shield serves the 29 counties of Western Pennsylvania.