MedAmerica

The information below pertains to MedAmerica's privacy and code of conduct practices.

Nondiscrimination Notice
Language Accessibility Notice
Code of Business Conduct
GLB Notice
HIPAA Notice
HIPAA Authorization to Disclose
This form is used to appoint a third party (such as a family member or a home care agency) with whom MedAmerica can share your PHI.
HIPAA Authorization to Receive
This form is used to appoint a third party to release your PHI (such as medical records needed to process a claim) to MedAmerica.
Administrative Change Form
Use this form to make administrative updates to your MedAmerica policy such as your address, phone number, lapse designee or billing payment.
Website Terms and Conditions of Use
Website Privacy Policy
New York State Insurance Law §2612 Website Notice

MedAmerica-NYS Insurance Law §2612 Website Notice

Per New York State Insurance Law §2612, if we receive a copy of a valid order of protection, we will not, for the duration of the order, disclose to that person your address or phone number. For more information, see NY Insurance Law §2612.

Also, you have the right to request to receive communications at an alternative location if disclosure of such information would endanger your safety. Please click here to complete our Confidential Communications Request form. To revoke this form, please contact a Customer Service Representative at 1‑800‑544‑0327.

Victims of Domestic and Sexual Violence can contact the NYS Domestic and Sexual Violence Hotline at 1-800-942-6906.