GeoBlue is the trade name of Worldwide Insurance Services, LLC (Worldwide Services Insurance Agency, LLC in California and New York), an independent licensee of
the Blue Cross and Blue Shield Association. GeoBlue is the administrator of coverage provided under insurance policies issued in the District of Columbia by 4 Ever Life
International Limited, Bermuda, an independent licensee of the Blue Cross Blue Shield Association.
Ensure Clear Communications with Your
Support Team During a Medical Emergency
Sharing Your Health Information
with Family Members and Program
Administrators
As you prepare for your study abroad program, you can
travel with peace of mind knowing you have coverage
with GeoBlue. However you should also plan ahead and
consider who you’d want to have access to your health
information to support you during a medical situation.
In compliance with HIPAA, your health information is private
and can only be shared with third parties you authorize to
have access to this information.
What is HIPAA?
The Health Insurance Portability and Accountability Act of
1996 (HIPAA) is a federal law that mandates the process by
which health care providers and health plans can share your
health information with third parties including your family
members and program administrators. The HIPAA Privacy
Rule ensures that you have the right to decide who sees
your health information and that information can be shared
with the people with whom you want it shared.
How does this apply to me while on a
study abroad program?
GeoBlue’s role is to support you through medical-related
issues. Though nothing will interrupt the provision of
necessary care to you, by law we cannot freely share
information about medical conditions and related issues
with third parties; this includes your parents (if you’re over
the age of 18) without the proper release. This release will
provide us with permission to speak with specific third-party
representatives while we coordinate care for you.
How can I ensure my support team
has the authority to speak to medical
providers about my care?
To grant a parent, guardian, or school official access to
claims data or other medical information managed through
GeoBlue, please complete the HIPAA release form which
can be found on geobluestudents.com. This form allows
you to designate who would have access to your health
information and what information you want shared with
those identified parties.
Questions?
Don’t wait for a medical
situation. Plan ahead and
decide what information
should be shared and with
whom.
C
omplete the HIPAA
release form.
Share a signed copy
with your program
administrator, parent
and/or
other authorized
individual.
Complete the form today at
geobluestudents.com/for-students-members
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Contact your program administrator
