Please review carefully
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
|Get a copy of your health and claims records||
|Ask us to correct health and claims records||
|Request confidential communications||
|Ask us to limit what we use or share||
|Get a list of those with whom we’ve shared information||
|Get a copy of this privacy notice||
|Choose someone to act for you||
|File a complaint if you feel your rights are violated||
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
|In these cases, you have both the right and choice to tell us to:||
|In these cases we never share your information unless you give us written permission:||
Our Uses & Disclosures
How do we typically use or share your health information? We typically use or share your health information in the following ways.
|Help manage the health care treatment you receive||
||Example: A doctor sends us information about your diagnosis and treatment plan so we can arrange additional services.|
|Run our organization||
||Example: We use health information about you to develop better services for you.|
|Pay for your health services||
||Example: We share information about you with your dental plan to coordinate payment for your dental work.|
|Administer your plan||
||Example: Your company contracts with us to provide a health plan, and we provide your company with certain statistics to explain the premiums we charge.|
How else can we use or share your health information? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
|Help with public health and safety issues||
We can share health information about you for certain situations such as:
|Comply with the law||
|Respond to organ and tissue donation requests and work with a medical examiner or funeral director||
|Address workers’ compensation, law enforcement, and other government requests||
We can use or share health information about you:
|Respond to lawsuits and legal actions||
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our web site, and we will mail a copy to you.
The effective date of this notice is January 1, 2019.
Last updated on October 20, 2020.