HIPAA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW

							                          HIPAA NOTICE OF PRIVACY PRACTICES

 THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE
      USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
              INFORMATION. PLEASE READ IT CAREFULLY


This notice explains your rights related to the health information Bravo Health maintains related to you. It
also explains Bravo Health’s duties related to maintaining the privacy of your health information, and how
we use your health information.

Your Protected Health Information

Bravo Health may collect, use and share your Protected Health Information (PHI) for the following reasons
and others as allowed or required by law. This includes without limitation the Health Insurance Portability
and Accountability Act (HIPAA) Privacy rule:

For Payment: We may use and share PHI to manage your account or benefits. We may also use and
share your PHI to pay claims for health care you get through your Bravo Health benefit plan. For example,
some of your PHI is available to your doctor’s office to confirm your eligibility and benefits. We may also
ask your health care providers for details about your treatment so that we may review and pay your health
care claim.

For Health Care Operations: We may use and share PHI for our health care operations. For example, we
may use PHI to:

    •   Provide you with case management or care coordination services.
    •   Review the quality of care and services you get.
    •   Provide Customer Service
    •   Send you information about treatment alternatives or other health-related benefits and services.
    •   Resolve appeals or grievances

For Treatment Activities: We do not provide treatment. This is the role of a healthcare provider such as
your doctor. We may, however, share PHI with your health care provider so that the provider can treat you.

To You: We must give you access to your own PHI. We may also contact you about other health related
benefits and services. We may also send you reminders about routine medical checkups and tests.

To Others: You may tell us in writing that you want us to give your PHI to someone else for any reason.
Also:
    •  If you are present, and tell us to, we may give your PHI to a family member, friend or other person;
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    •        If you are not present, we may give your PHI to a family member, friend or other person if sharing
             your PHI is in your best interest;
    •        If it is an emergency, we may give your PHI to a family member, friend or other person if sharing
             your PHI is in your best interest; or
    •        If you are not able to tell us it is OK, we may give your PHI to a family member, friend or other
             person if sharing your PHI is in your best interest.

As Allowed or Required by Law: There are many state and federal laws that require us to allow certain
entities or individuals access to your information. Typically, access is required to or for:

•   Regulatory agencies
•   State or federal auditors
•   Licensure review authorities
•   Administrative or judicial proceedings
•   Public health authorities or
•   Law enforcement agencies

An example of this would be if we disclosed your PHI to comply with a court order or subpoena.

Authorization: We will get your written permission before we use or share your PHI for any other purpose
not stated in this notice. You may revoke this permission in writing at any time. We will then stop using
your PHI for that purpose. But we cannot undo any actions we took prior to your revocation.

Your Rights

Under federal law you have the right to:

    •       Ask that Bravo Health limit how it uses and discloses your PHI for payment or health care operations
            activities. We are not required to agree to these requests.

    •       Send us a written request to see or get a copy of certain PHI. You may also send us a written
            request to correct your PHI that you believe is incomplete or wrong. If we did not create the PHI, we
            will tell you who did so you can ask them to correct it.

    •       Give us a verbal or written request to send your PHI using other means that are reasonable. Also,
            you may let us know if you want us to send your PHI to an address other than your home if sending
            it to your home could place you in danger.

    •       Send us a written request to ask us for a list of certain disclosures of your PHI.

Call the Member Services phone number shown in this notice to exercise these rights. They can provide
you with the address to send the request. They can also send you any forms we have that may help you
with the process.

How We Protect Your PHI

Bravo Health is committed to protecting your PHI. We have set up a number of policies and practices to
keep your PHI secure.

We keep your oral, written and electronic PHI secure. We do this by using physical, electronic, and
procedural means. These safeguards follow applicable law. Some of the ways we keep your PHI safe
include:

        •Offices that are kept secure,
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     •   Computers that require passwords, and
     •   Locked storage areas and filing cabinets.

We require our employees to protect PHI through written policies and procedures. The policies limit access
to PHI to only those employees who need the data to do their job. Employees are also required to wear ID
badges. This helps keep unauthorized people out of areas where PHI is kept. Also, as required by law, our
affiliates and non-affiliates must protect the privacy of data we share in the normal course of business.

Potential Impact of Other Applicable Laws

HIPAA generally does not preempt other laws that give individuals greater privacy protections. As a result,
if any state or federal privacy law requires us to provide you with greater privacy protections, then we must
also follow that law.

Complaints

If you think we have not protected your privacy, you can file a complaint with us. You may also file a
complaint with the Office for Civil Rights in the U.S. Department of Health and Human Services. We will not
take action against you for filing a complaint.

Contact Information

Member Services can help you exercise your rights, file a complaint or talk with you about privacy issues.
You may contact Member Services at:

    •    For Prescription Drug Plan only members, contact Bravo Health Prescription Drug Plan only
         Member Services at 1-877-504-7252, 7 days a week, 8 am to 8 pm (TTY 1-800-964-2561 for the
         hearing impaired)
    •    For all other members, contact Member Services at 1-800-291-0396, 7 days a week, 8 am to 8 pm
         (TTY 1-800-964-2561 for t he hearing impaired)

Copies and Changes

You have the right to get an extra copy of this notice at any time. We reserve the right to change this
notice. A changed notice will be effective for PHI we already have about you as well as any PHI we may
get in the future. We are required by law to follow whichever privacy notice is currently in effect. We may
notify you about privacy notice changes in a number of ways. We may tell you about the changes in a
member newsletter or post them on our website. We may also mail you a letter that tells you about any
changes.




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