Below are Notice of Privacy Practices (NPP) statements describing how medical information about you, as a Jefferson Health Plans Member, may be used and disclosed, and how you can get access to your information.

Also available are forms that you, as a Jefferson Health Plans member, or your personal representative, may use to exercise your privacy rights relating to the health information Jefferson Health Plans creates, obtains, and/or maintains about you.

All privacy and HIPAA forms are available below in fillable/downloadable PDF format. All forms can be mailed, emailed or faxed to the Privacy Services department at the contact information below.