This new rule make it so you can easily find information* on:
- claims (paid and denied)
- healthcare providers
- specific parts of your clinical information
*Applies to Medicare Advantage (MA), Medicaid, CHIP, and Qualified Health Plan (QHP) issuers on the Federally facilitated Exchanges (FFEs).
Samples of Data We Maintain:
- first name
- last name
- previous name
- middle name
- suffix
- birth sex
- date of birth
- race
- ethnicity
- preferred language
- substances (medications)
- substances (drug class)
- reaction
- current address
- previous address
- phone number
- phone number type
- email address
Next Steps for Current Members:
The new rule allows you to use an app from a third party application developer (a company with no connection to Magellan Health) to look up your health information. Visit the Member Portal and sign in to view a list of approved third party applications, download the application to your mobile phone (Android or iOS), and manage your health care information from there.
Frequently Asked Questions
Read our Frequently Asked Questions or call the number on the back of your member ID card.
To learn more, call the number on the back of your member ID card.
You will have access to health information with a date of service of January 1, 2016 or later.
Yes. You will be able to access your health information no matter what health plan or provider you see.
No. The app is not affiliated with Magellan Health. Visit the Member Portal and sign in to view a list of approved third party applications. Download the application to your mobile phone (Android or iOS) and manage your health care information from there.
No. You do not have to use an app to access your health information. You can contact your provider or health plan for information.
This is dependent on what app you choose to use. Some apps will collect your health data, this includes, but is not limited to:
- claims
- medications
- diagnoses
- procedures
- doctor visits
You’ll have to give the app permission to collect your health information when you sign up for it. The app’s Notice of Privacy Practices will tell you what information it collects.
The app’s Notice of Privacy Practices will tell you what information it collects. Apps do have the ability to collect non-health data, such as your location. Some apps give you the option to provide that information or not. We suggest that you ask your app provider.
If a family member is linked to your health account, there is a chance that their health information will be shared.
You will need to contact your provider or health plan. The app only makes data available from healthcare sources. The app does not create this data.
We suggest that you request a Notice of Privacy Practices from the app provider to understand your rights.
The best way to stop sharing data is through the member portal, using the revoke access function through the app, or by contacting the app’s support.