AgdaPkt 2005-06-27 - Laserfiche WebLink

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...s: / é!. - ~ Notice of Privacy Practices THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MA Y BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. . . This Notice tells you about the ways in which Managed Health Network ("MHNn) (refelTed to as "we" or "the Plan") may collect, use and disclose your protected health information and your rigþts concerning your protected health information. "Protected health information" is information about you, including demographic information, that can reasonably be used to identify you and that relates to your past, present or future physical or mental health or condition, the provision of health care to you or the payment for that care. Weare required by federal and state laws to provide you with this Notice about your rights and our legal duties and privacy practices with respect to your protected health information. We must follow the terms of this Notice while it is in effect. Some of the uses and disclosures described in this Notice may be limited in certain cases by !lpplicable state laws that are more stringent than the federal standards. HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH ~ORMATION We may use and disclose your protected health information for different purposes. The examples below are provided to ilJustrate the types of uses and disclosures we may make without your authorization for pa~ent, health care operations and treatment. Payment. We use and disclose your protected health information in order to pay for your covered health expenses. For example, we may use your protected health information to process claims or be reimbursed by another insurer that may be responsible for payment. . Health Care Operations. We use and disclose your protected health information in order to perform our plan activities, such as quality assessment activities or administrative activities, including data management or customer service. In some cases, we may use or disclose the infonnation for underwriting or determining premiums, Treatment, We may use and disclose your protected health information to assist your health care providers (doctors, mental health practitioners, pharmacies, hospitals and others) in your diagnosis and treatment. For example, we may disclose your protected health information to providers to provide information about alternative treatments. Plan Sponsor. If you are enrolled through a group health plan, we may provide summaries of claims and expenses for enrollees in a group health plan to the plan sponsor, who is usually the employer. . Enrolled Dependents and Family Members. We will mail explanation of benefits forms and other mailings containing protected health information to the address we have on record for the subscriber of the health plan, OTHER PERMITTED OR REQUIRED DISCLOSURES . As Required by Law. We must disclose protected health information about you when required to do so by law. . Public Health Activities. We may disclose protected health information to public health agencies for reasons such as preventing or controlling disease, injury or disability. . Victims of Abuse, Neglect or Domestic Violence. We may disclose protected health information to government agencies about abuse, neglect or domestic violence. . . . . . 13