By clicking the "I AGREE" button, below, I authorize Blue Cross Blue Shield of Florida (BCBSFL) to disclose to each Blue365 vendor on whose Web site link I click:
- The fact that I am enrolled in a BCBSFL product.
- This authorization does not permit BCBSFL to disclose any other information.
- I understand that Blue365 vendors need to know I am enrolled in a BCBSFL 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 BCBSFL product will be disclosed to that vendor. Although BCBSFL 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 BCBSFL 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. BCBSFL 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 BCBSFL product that BCBSFL made before the revocation. BCBSFL 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.
