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Privacy Policies

HealthSun Privacy Policies

Your privacy is a major priority to HealthSun, and we take great care to protect your information. Our Privacy Policy describes the ways in which we gather and protect information, and what choices you have to control your information. To update how you receive your information, you can call Member Services.

If you have questions regarding this policy or if you would like to review or change any of your information we have on file, please call Member Services at the toll-free number on your member ID card.

This privacy statement is subject to change. We encourage you to review it from time to time.

Personally Identifiable Information Privacy Protection Policy

Various privacy laws and regulations can differ slightly on how they refer to your information. Throughout the notices on this page, information about you may be referred to as “Personally Identifiable Information” (“PII”), “Protected Health Information” (“PHI”), or as “Personal Information” (“PI”). HealthSun is committed to protecting all of your sensitive information in accordance with applicable laws and regulations.

Personally Identifiable Information (PII) is information about an individual which can be used to distinguish or trace an individual’s identity (such as their name, social security number, biometric records, etc.) by itself or when combined with other personal or identifying information which is linkable to a specific individual, such as date and place of birth, mother’s name, etc. PII includes Protected Health Information or PHI, but it can also include other types of information about you, that are not related directly to healthcare.

Protected Health Information (PHI) is information specifically about an individual’s healthcare that identifies the individual or with respect to which there is a reasonable basis to believe the information can be used to identify the individual.
Examples of PHI can include any of the following:

• name
• medical record information
• address
• social security number or equivalent identifiers (such as those assigned in other countries)
• Social Drivers of Health (also known sometimes as Social Determinants of Health), or other individually-identifiable information when associated with a member or patient
• birth date
• sex and age
• sexual orientation
• alternative gender identity
• race, ethnicity

Personal Information (PI) is a term used by many state privacy protection laws, and (depending on the state) may or may not include PII and/or PHI. Therefore, these three terms may be used interchangeably in parts of this Privacy Protection Policy.

We are committed to safeguarding the PII, PHI, and/or PI we receive from our customers and members through the use of physical, technical, and administrative safeguards.

Our policies prohibit the unlawful disclosure of PII, PHI and/or PI. We share it externally only where federal and state law allows or requires it. Internally, it is our policy to limit the access, use and disclosure of this information to be in line with the job duties of our associates, as well as applicable law.

Our Notice of Privacy Practices further explains how your PII, PHI and/or PI is collected, how it may be used, and when it may be shared.

If you have questions about this, call Member Services at the toll-free number on your member ID card.

HIPAA Notice Of Privacy Practices

Health Insurance Portability And Accountability Act Of 1996 (HIPAA) Notice Of Privacy Practices

Our Notice of Privacy Practices explains how your health information may be used and/or disclosed and how to access this information in accordance with HIPAA, an important federal privacy law. The notice reflects our obligations under federal and individual state regulations. By law, we’re required to send our fully insured health plan members a notice with those details.

HealthSun Notice of Privacy Practices

Web Privacy Statement

Your privacy is very important to us, and we will make every reasonable effort to safeguard any information we collect.

What Information Will We Collect?

Information may be collected in the following ways on this website and application:

  • If we provide user account access, you may elect to establish an account so that you can gain additional access to online service applications, health tools, health information, subscriptions, or other services where it is important for us to know who you are in order to best meet your needs. Providing personal information is always voluntary.


  • We may use “cookies” to help us improve this website and application by tracking your navigation habits and to store some of your preferences. A cookie is a small file created by a website or application to store information on your computer. Cookies do not allow websites or applications to gain access to other information on your computer. Once a cookie is saved on your computer, generally only the website or application that created the cookie can read it.
  • An Internet Protocol (IP) address is a number that automatically identifies the computer or mobile device that you are using to access the Internet. The IP address enables our server to send you the site pages that you want to visit or the data you want to view. The IP address may disclose the server owned by your Internet Service Provider. We use your IP address to help diagnose problems with our server and to support our administration of this website and application.

How Will Information Be Used?

Any personal information that you provide is used for the purpose for which you provide it. For example, if you use location services to find a provider near your current location, your location is used only to facilitate that function. Or if you provide us with an email address, we will only use it in a manner consistent with your consent for us to do so.

We may also gather quantitative user information, such as the number of users and the pages or data accessed, in order to perform administrative, technical, hosting or other functions that help us manage our website and Application and deliver new functionality to you. We do not sell, license, transmit or disclose personal information that you provide to us to third parties except with the following exceptions:

  • Upon your authorization;
  • When such disclosure is necessary to allow us and our contractors or agents to carry out treatment, payment or healthcare operations; or
  • When required or permitted by law.

Third Parties

We may work with third party service providers who may place third party persistent cookies, web beacons, or similar technologies to collect anonymous information about the use of our websites and Applications. They are not permitted to collect any personal information, and this information will be solely used for web usage analysis for a better understanding of how you use our website Application, and/or to customize our content and advertising.

What If I Don’t Want Information About Me To Be Collected?

Providing personal information through this website or application is optional. Personally identifiable information will not be collected from you without your knowledge and approval. You will be told when your failure to provide information might affect your ability to enroll in or use a product or service.

If you do not wish to have your activity on our website or application tracked, at any time you can opt-out to discontinue first party cookie tracking of your web activity.

You also have the choice to opt-out of third-party cookies, web beacons or similar technologies. If you do not want third party service providers to collect your anonymous information for marketing purposes, visit the Network Advertising Initiative (NAI) website to opt-out.

Additionally, you can direct your Internet browser to notify you and seek approval whenever a cookie is being sent to your hard drive. You may also delete a cookie manually from your computer, tablet or smartphone through your Internet browser settings or other programs. You can also set your browser to refuse all cookies. Please note that some parts of this website or application may not function properly or be available to you, if you refuse to accept a cookie or choose to disable the acceptance of cookies.

“Do Not Track” Signals

We do not respond to web browser “do not track” signals. As such, your navigation of our website and Application may be tracked as part of the gathering of quantitative user information described above. If you arrive at our website or Application by way of a link from a third-party application that does respond to “do not track” requests, the recognition of any “do not track” request you have initiated will end as soon as you reach our website or application.

Use Of Email And Fax

We may provide email and fax links to further facilitate communication for our members and their designees and caregivers. Information collected through email may be shared with our Member Services department, other associates, or third parties that perform services on our behalf. Unless otherwise noted, email through our website or Application is not a completely secure and confidential means of communication. Non-encrypted email may be accessed and viewed by other Internet users without your knowledge and permission while in transit to us.

Also, if you request that we email or fax information about you to someone using the email and fax capabilities in this website or application, that email or fax may not be completely secure. Please verify email addresses and fax numbers carefully before submitting such a request.

Linking To Other Sites

From time to time we will provide links to websites or applications not owned or controlled by us. We do this because we think the information might be of interest or use to you. A link to a third-party website or application does not constitute or imply endorsement by us. We cannot guarantee the quality or accuracy of information presented on third party websites or applications. While we do our best to ensure your privacy, we cannot be responsible for the privacy practices of third-party websites or applications. We encourage you to review the privacy practices of any website or application you visit.

Privacy Guidance When Selecting Third-Party Apps To Receive Your Information (CMS Interoperability Support).

Important Notice for CMS Interoperability

Privacy Authorization Form

We are committed to complying with HIPAA. HIPAA allows us to use and disclose identifiable healthcare and demographic information called Protected Health Information (PHI) for Treatment, Payment, and Healthcare Operations (TPO) purposes. Beyond TPO, you have the right to permit the release of your PHI by completing a Member Authorization form to grant permission for others to see your PHI.

You may choose to allow your PHI to be disclosed to someone outside our company. To do this, fill out the appropriate form below and send your completed Member Authorization Form to our Member Services Department at:

HealthSun Health Plans
11430 NW 20th Street Ste 300
Miami, FL 33172
Attn: Member Services Department


Member Authorization Form

Contacting You

We, including our affiliates and/or vendors, may call or text you by using an automatic telephone dialing system and/or an artificial voice. But we only do this in accordance with the Telephone Consumer Protection Act (TCPA). The calls may be about treatment options or other health-related benefits and services for you.
If you don’t want to be contacted by phone, just let the caller know or call 1-877-336-2069 to add your phone number to our Do Not Call list. We will then no longer call or text you.

Consumer Privacy Protection

There are many sources for information on privacy. These government websites feature frequently updated information on privacy policies and statutes.

Federal Trade Commission (FTC)

Identity Theft |

Identity Theft |

Health Plan Accredited by AAAHC

HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Enrollment in HealthSun Health Plans depends on contract renewal. HealthSun complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-336-2069. (TTY: 1-877-206-0500). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-336-2069. (TTY: 1-877-206-0500).

Do you need to file a complaint? File your complaint online via CMS by submitting the Medicare Complaint Form. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare.

You can report suspected fraud or any other non-compliance activity by calling our Member Services Department at 877-336-2069 or TTY at 877-206-0500.

Y0114_WEB_M Last Updated On 05/20/2024