HIPAA Notice

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

1. Our Pledge Regarding Your Health Information

At Secure Future Coverage, we understand that health information about you and your health is personal. We are committed to protecting your medical information and to helping you understand your rights regarding that information.

We create a record of the care and services you receive and use your record to provide services, to comply with certain legal requirements, and to bill for those services. This Notice applies to all records of your care and benefits created or retained by Secure Future Coverage, whether made by our personnel or your personal doctor.

2. How We May Use and Disclose Health Information About You

Below are examples of how we commonly use or disclose your health information. Not every use or disclosure in a category is listed.

For Treatment

We may use and disclose health information to deliver, coordinate, and manage your health care and related services. For example, we may share information with doctors, pharmacies, hospitals, or other providers involved in your care.

For Payment

We may use and disclose health information to obtain payment for the health care services we provide, such as processing claims with payers or determining eligibility for coverage.

For Health Care Operations

We may use and disclose information for business activities necessary to run our organization, including quality assessment, training, credentialing, accreditation, auditing, case management, customer service, and other administrative activities.

Appointment Reminders and Health-Related Benefits

We may contact you with appointment reminders, treatment alternatives, or health-related benefits and services that may be of interest to you.

As Required By Law

We will disclose health information when required to do so by international, federal, state, or local law.

Public Health and Safety

We may disclose health information to public health authorities for the prevention or control of disease, injury, or disability, to report adverse events or product defects, or to comply with public health investigations.

Law Enforcement and Judicial Proceedings

We may disclose information to law enforcement officials as required by law or in response to a court order, warrant, or other legal process.

Research

Under certain circumstances, we may use or disclose health information for research purposes. When feasible, we will ask for your authorization or remove personally identifying information.

Other Uses and Disclosures

There are other permitted or required uses and disclosures not listed above. When required, we will obtain your written authorization before using or disclosing your protected health information (PHI) for purposes not described in this Notice.

3. Uses and Disclosures That Require Your Authorization

We will obtain your written authorization before using or disclosing PHI for most marketing purposes, sale of PHI, or most uses and disclosures of psychotherapy notes. You may revoke an authorization at any time, in writing, except to the extent that we have already acted upon it.

4. Your Rights With Respect to Your Health Information

You have the following rights regarding the PHI we maintain about you. To exercise any of these rights, send a written request to the Privacy Officer listed below.

  • Right to Inspect and Copy: You may request access to inspect or receive copies of your medical and billing records, subject to certain limitations. We may charge a reasonable, cost-based fee for copies.
  • Right to Amend: If you believe information in your record is incorrect or incomplete, you may request an amendment. We may deny the request and will provide a written explanation if we do.
  • Right to an Accounting of Disclosures: You may request a list of certain disclosures of your PHI made by Secure Future Coverage during a specified time period (up to six years prior to the request).
  • Right to Request Confidential Communications: You may ask that we communicate with you in a specific way or at a specific location (for example, a different phone number or an alternate mailing address).
  • Right to Request Restrictions: You may request restrictions on certain uses or disclosures of your PHI. While we will consider your request, we are not required to agree, except in limited circumstances.
  • Right to Receive a Paper Copy of This Notice: You may ask for and receive a paper copy of this Notice at any time, even if you previously agreed to receive this Notice electronically.
5. Our Responsibilities

We are required by law to maintain the privacy of your PHI, to provide you with this Notice of our legal duties and privacy practices, and to abide by the terms of the Notice currently in effect. We will notify you in the case of a breach of unsecured PHI as required by law.

6. Filing a Complaint or Reporting a Problem

If you believe your privacy rights have been violated, you may file a complaint with Secure Future Coverage or with the U.S. Department of Health and Human Services (HHS), Office for Civil Rights.

To file a complaint with Secure Future Coverage:
To file with the U.S. Department of Health and Human Services (OCR): -

Visit the OCR website or call the OCR regional office. (If posting on your website, include a link or direct users how to find OCR complaint forms.)

We will not retaliate or take any adverse action against you for filing a complaint.

7. Changes to This Notice

We reserve the right to change this Notice and to make the revised or changed Notice effective for PHI we already have as well as any information we receive in the future. If we revise this Notice, the revised version will be posted on our website and will be available upon request in our offices.

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