; Blue 365 – Health Tools and Health Product Discounts - Blue Cross and Blue Shield of Florida
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Blue365® - Health Tools and Health Product Discounts

Blue Cross and Blue Shield of Florida

Authorization to see more of Blue365

By clicking the "I AGREE" button, below, I authorize Blue Cross and Blue Shield of Florida to disclose to each Blue365 vendor on whose Web site link I click:

  • The fact that I am enrolled in a Blue Cross and Blue Shield of Florida product.

This authorization does not permit Blue Cross and Blue Shield of Florida to disclose any other information.

I understand that Blue365 vendors need to know I am enrolled in a Blue Cross and Blue Shield of Florida product to give me discounts.

Once I click on a link to visit a Blue365 vendor's Web site, the fact that I am enrolled in a Blue Cross and Blue Shield of Florida product will be disclosed to that vendor. Although Blue Cross and Blue Shield of Florida will not give the vendor my name or any other information about me, I understand that the vendor may not be subject to federal health information privacy laws and, therefore, could re-disclose the fact that I am enrolled in a Blue Cross and Blue Shield of Florida product (subject to vendor's own privacy policies and any applicable state laws).

I acknowledge that the Blue365 Web site includes products and services that are not health related.

This authorization is voluntary. Blue Cross and Blue Shield of Florida 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 leave the Blue365 Web site by closing the browser window. When I revoke this authorization, the revocation will not affect any disclosure of the fact I am enrolled in a Blue Cross and Blue Shield of Florida product that Blue Cross and Blue Shield of Florida made before the revocation. Blue Cross and Blue Shield of Florida may receive payment from vendors under the Blue365 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. By agreeing to go forward, I certify that I am enrolled in a Blue Cross and Blue Shield of Florida product.

I AGREE

I WOULD LIKE TO PRINT A COPY OF THIS AUTHORIZATION