Common use of Our Right to Receive and Release Information About You Clause in Contracts

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: •  adjudicating health insurance claims; •  administration of claim payments; •  healthcare operations; •  case management and utilization review; •  coordination of healthcare coverage; and •  health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 5-37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx-Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-of- pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.six

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 5-37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx-Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-of- pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.six

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: •  adjudicating health insurance claims; •  administration of claim payments; •  healthcare operations; •  case management and utilization review; •  coordination of healthcare coverage; and •  health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: •  if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). •  if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: •  up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and •  a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 5-37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx-Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-of- pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.six

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 5-37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx-Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement Statement of Rights Under the NewbornsRight s U n d e r t h e N e w b o r n s ’ and Mothers’ Health a n d M o t Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-of- pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.six

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.MNH00282 R5001101 D0000804 XX000000

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. MNH00199 R5001102 D0000617 XX000000 Xxxx 00x= XXX - XXXX XX 1000/2000 100/80 – Pedi dental - Pedi vision - RX$10/25/35/60/100 - v1.22 Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. MNH00239/R5000540 Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. MHD00216 R5001074 D0000562 VP000033 Plan 10a = Off Exchange - BasicBlue DP 5500.11000 - Pedi dental - Pedi vision - Acu - RX$10/30/50/75/100 - v1.22 Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. MHM02434 R5001115 D0000038 VP000030 Plan 3a = BXO - VantageBlue SG 1000.2000 80.60 - pedi dental - Pedi vision - RX$10/40/70/90/125 - v1.22 Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. MNH00203 R5001099 D0000403 VP000030 Plan 25a = BXO - BCNE SG 2000/4000 100/80 – Pedi dental - Pedi vision - RX$10/30/50/75/125 - v1.22 Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.MNH00208 R5001100 D0000549 XX000000

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.MNH00198 R5001102 D0000616 XX000000

Our Right to Receive and Release Information About You. We are committed to maintaining the confidentiality of your healthcare information. However, in order for us to make available quality, cost-effective healthcare coverage to you, we may release and receive information about your health, treatment, and condition to or from authorized providers and insurance companies, among others. We may give or get this information, as permitted by law, for certain purposes, including, but not limited to: • adjudicating health insurance claims; • administration of claim payments; • healthcare operations; • case management and utilization review; • coordination of healthcare coverage; and • health oversight activities. Our release of information about you is regulated by law. Please see the Rhode Island Confidentiality of HealthCare Communications and Information Act, R.I. Gen. Laws §§ 5- 37.3-1 et seq. the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, and implementing regulations, 45 C.F.R. §§ 160.101 et seq. (collectively “HIPAA”), the Xxxxx- Xxxxx - Xxxxx-Xxxxxx Financial Modernization Act, 15 U.S.C. §§ 6801-6908, the Rhode Island Office of the Health Insurance Commissioner (OHIC) Regulation 100. S tatement of Rights Under the Newborns’ and Mothers’ Health Protection Act Under federal law, group health plans and health insurance issuers offering group healthcare coverage generally may not restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than forty-eight forty -eight (48) hours following a vaginal delivery, or less than ninety-six (96) hours following a delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g., your physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that a physician or other healthcare provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). In accordance with R.I. General Law §27-20-17.1, this plan covers a minimum inpatient hospital stay of forty-eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • if the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • if the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn child is admitted to a hospital following childbirth. Decisions to shorten hospital stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your newborn child participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your newborn child, (any additional visits may be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge from the hospital. MNH00197 R5001098 VP000031 Plan 34b= BXO - ABNE SG 3400/6800 100/NC - Pedi vision - RX$10/45/70/90/125 - v1.22 Nondiscrimination and Language Assistance Blue Cross & Blue Shield of Rhode Island (BCBSRI) complies with applicable Federal civil rights laws and does not discriminate or treat people differently on the basis of race, color, national origin, age, disability, or sex. BCBSRI provides free aids and services to people with disabilities and to people whose primary language is not English when such services are necessary to communicate effectively with us. If you need these services, contact us at 000-000-0000. If you believe that BCBSRI has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Director of Grievance and Appeals Department, Blue Cross & Blue Shield of Rhode Island, 000 Xxxxxxxx Xxxxxx, Xxxxxxxxxx XX 00000, or by calling 000-000-0000 or 000-000-0000 (TTY/TDD: 888-252-5051). You can file a grievance in person, by phone or by mail, fax at 000-000-0000, or electronically through our member portal at xxxxxx.xxx. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxx 000X, XXX Xxxxxxxx Xxxxxxxxxx, X.X. 00000 800-368-1019, 000-000-0000 (TDD). Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html.