妇女保健署保健和 退休皇冠搏彩中心网站 私隐实务通知
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. 请仔细审阅.
法律要求本皇冠搏彩中心网站:
•确保您受保护的健康信息保密;
• Give you this Notice about our legal duties and privacy practices with respect to your protected health information;
• Notify you following the breach of your unsecured protected health information; and
•遵守当前有效的通知条款.
•更多信息请参见:
www.美国卫生和公众服务部.gov / ocr / / hipaa /理解/消费者/ noticepp隐私.html
I. 我们如何使用和披露您受保护的健康信息
皇冠搏彩中心网站出于许多不同的原因使用和披露受保护的健康信息.
下面, we describe the different categories of our uses and disclosures and give you some examples of each category. 并不是每一个类别的使用或披露都将被列出. 然而, all of the ways we are permitted to use and disclose protected health information will fall within one of the categories.
有关更多信息，请参见: www.美国卫生和公众服务部.gov / ocr /隐私/ hipaa /理解/消费者/索引.html
1. 治疗. 的资金 will use and disclose your protected health information 根据需要 for professionals to treat you. 例如, we may send your doctor information related to your participation in one of our programs so that your doctor can develop a treatment plan for you.
2. 付款. 您受保护的健康信息将被使用或披露, 根据需要, 来支付你的医疗费用. 这可能包括确定您的资格和医疗保健服务的覆盖范围, 审查向您提供的服务，以确定它们是否在医学上是必要的, 并执行利用率审查活动, 例如，在您收到服务之前预先批准服务.
例如, 皇冠搏彩中心网站可能会审查您的资格信息，以确定您的皇冠搏彩中心网站福利. 我们可能会使用您受保护的健康信息来批准您入住医院或养老院. 本皇冠搏彩中心网站也可能使用您受保护的健康信息从负责任的第三方获得付款.
3. 医疗业务. 皇冠搏彩中心网站可能使用或披露, 根据需要, 您受保护的健康信息，以支持皇冠搏彩中心网站健康计划的业务活动. 例如, 我们可能会使用您的索赔付款记录来审查我们的索赔付款操作的质量. 我们也可能将您的理赔付款信息提供给我们的会计师, 律师, 顾问和其他必要的人，以确保我们遵守影响我们的法律.
我们可能出于承保目的使用或披露您受保护的健康信息, but we are prohibited from using or disclosing any of your protected health information that is genetic information for underwriting purposes.
We may disclose your protected health information to the sponsor of your plan for the proper administration of the plan.
4. 商业伙伴. 的资金 contracts with service providers – called business associates – to perform various functions on the Funds’ behalf. 例如, the Funds may contract with a service provider to perform the administrative functions necessary to pay your medical claims. 执行这些功能或提供服务, 商业伙伴会收到, 创建, 维护, use or disclose protected health information but only after the Funds and the business associate agree in writing to contract terms requiring the business associate to appropriately safeguard your protected health information.
5. 其他承保实体. 皇冠搏彩中心网站可能使用或披露 your protected health information to assist health care providers in connection with their treatment or 付款 activities, 或协助与某些保健业务有关的其他承保实体. 例如, 皇冠搏彩中心网站可披露 your protected health information to a health care provider when needed by the provider to render treatment to you, and 皇冠搏彩中心网站可披露 protected health information to another covered entity to conduct health care operations in the areas of quality assurance and improvement activities, 或认证, 认证, 许可, 或证书. This also means that 皇冠搏彩中心网站可披露 or share your protected health information with other health care programs or insurance carriers (such as 医疗保险, 等.)，以协调利益, 如果您或您的家庭成员有其他健康保险或覆盖范围.
6. 与健康有关的福利和服务. We may use or disclose your protected health information to tell you about health-related benefits or services that may be of interest to you. 例如, 我们可能会使用您受保护的健康信息来通知您有关流感疫苗诊所的信息, 运输服务，如货车服务, 或者健康博览会. 您受保护的健康信息可能被用于确保处方正确的药物, 急诊室是适当的护理级别, 养老院的护理在医学上是必要的，应该加以利用. We may also use your protected health information to determine if your medical conditions put you at risk for 维护ing your health and independent living.
7. 按法律规定. 当联邦政府要求时，我们将使用或披露您受保护的健康信息, 州或地方法律. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. 根据法律要求，您将被告知任何此类使用或披露.
8. 公共卫生活动. We may use or disclose your protected health information for public health activities that are permitted or required by law. 例如，我们可能会通知有关政府部门报告虐待或忽视儿童的情况.
9. 卫生监督活动. 我们可能会为法律授权的活动向健康监督机构披露受保护的健康信息, 比如审计, 调查, 和检查. 这些活动对于政府监督卫生保健系统是必要的, 遵守民权法律, 以及医疗保险等政府项目. 例如, we will provide information to assist the government when it conducts an investigation or inspection of a health care provider or organization. We may disclose your protected health information to assist government programs in their study and development of programs for senior citizens.
10. 诉讼和其他法律程序. 的资金 may disclose your protected health information in the course of any judicial or administrative proceeding or in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized). 如果满足某些条件, 本皇冠搏彩中心网站也可能应传票披露您受保护的健康信息, 发现请求, 或其他合法程序.
11. 虐待或忽视. 的资金 may disclose your protected health information to a government authority that is authorized by law to receive reports of 滥用, 忽视, 或者家庭暴力. 另外, 按照法律的要求, 如果皇冠搏彩中心网站认为你是虐待的受害者, 忽视, 或者家庭暴力, it may disclose your protected health information to a governmental entity authorized to receive such information.
12. 执法人员. 我们可能会根据法律要求，出于执法目的披露您受保护的健康信息, 响应法院命令或类似程序, 这是定位或识别嫌疑人所必需的, 逃犯, 重要证人或失踪人员, or in response to a law enforcement official’s request for information about an individual who is or is suspected of being a victim of a crime.
13. 验尸官，验尸官和葬礼主管. 的资金 may disclose protected health information to a coroner or medical examiner when necessary for identifying a deceased person or determining a cause of death. 的资金 may also disclose protected health information to funeral directors as necessary to carry out their duties.
14. 器官及组织捐赠. 皇冠搏彩中心网站可将受保护的健康信息披露给处理器官的组织, 眼睛, 或者组织捐赠和移植.
15. Re搜索. 皇冠搏彩中心网站可能使用或披露 your protected health information for re搜索 when certain requirements are met.
16. 致参与您的护理或支付您的护理费用的个人. 我们可能会向您的家庭成员披露受保护的健康信息, 其他相关, 朋友, 或者任何其他你确定的参与你的护理或支付你的医疗费用的人, 除非您反对这样的披露或表示您希望我们在您去世前不这样做. We may also use or disclose your protected health information to notify or assist in notifying your family, 个人代表或其他负责照顾您一般情况的人, 位置, 或死亡.
如果你不能同意或反对这样的披露, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.
17. 致皇冠搏彩中心网站受托人. We may disclose your protected health information to the Funds’ Trustees as required to administer the Funds’ health plans.
18. 避免伤害. We may use or disclose your protected health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. 只有能阻止威胁发生的人才会知道, 比如执法人员. 的资金 may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.
19. 军事. 在某些条件下, the Funds may use or disclose your protected health information if you are Armed Forces personnel for activities deemed necessary by appropriate military command authorities. 如果你是外国军人, 皇冠搏彩中心网站可披露, 在某些情况下, 把你的情报交给外国军事当局.
20. 国家安全和保护服务. 的资金 may disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, 以及对总统的保护, 其他获授权人士, 或者国家元首.
21. 犯人. 如果你是惩教机构的囚犯或被执法人员拘留, 皇冠搏彩中心网站可披露 your protected health information to the correctional institution or to a law enforcement official for: (1) the institution to provide health care to you; (2) your health and safety, and the health and safety of others; or (3) the safety and security of the correctional institution.
22. 救灾工作. We may disclose your protected health information to an entity authorized by law or its charter to assist in disaster relief efforts to notify or assist in notifying your family, 个人代表或其他负责照顾您一般情况的人, 位置, 或死亡.
23. 用于工人赔偿目的. We may disclose your protected health information in order to comply with workers’ compensation laws and other similar programs that provide benefits for work-related injuries or illnesses.
24. 致美国国务卿.S. 卫生与公众服务部. 皇冠搏彩中心网站会必须向美国卫生部长披露您受保护的健康信息.S. 卫生与公众服务部 when the Secretary is investigating or determining the Funds’ compliance with the HIPAA Privacy Rule.
25. 给你. 的资金 is required to disclose to you or your personal representative most of your protected health information when you request access to this information. 的资金 will disclose your protected health information to an individual who has been designated by you as your personal representative and who has qualified for such designation in accordance with relevant law. 在这样的披露之前, 然而, the Funds must be given written documentation that supports and establishes the basis for the personal representation. 的资金 may not elect to treat the person as your personal representative if it has a reasonable belief that you have been, 或者可能是, 遭受家庭暴力, 滥用, or 忽视 by such person; treating such person as your personal representative could endanger you; or the Funds determines, 在进行专业判断时, 把这个人当作你的私人代表不符合你的最佳利益.
所有其他使用和披露需要您事先书面授权
在上述未描述的任何其他情况下, we will ask for your written authorization before using or disclosing any of your protected health information and will only use or disclose your protected health information with your written authorization. We are generally required to obtain your authorization before we can use or disclose your psychotherapy notes. We are also required to obtain your authorization before using or disclosing your protected health information for marketing purposes or selling your protected health information. 如果您选择签署授权以披露受保护的健康信息, 你可以在任何时候以书面形式撤销该授权. This will stop any future uses and disclosures to the extent that we haven’t taken any action based on the authorization.
II. 您在健康和付款信息方面的权利
您拥有以下权限:
A. 查看和获取受保护的健康信息副本的权利.
在大多数情况下, 您有权查看或获取本皇冠搏彩中心网站持有的您受保护的健康信息的副本. 你必须以书面形式索取这些资料. 阁下可按本通知末尾附近的地址向皇冠搏彩中心网站私隐主任提出要求. 我们将在收到您的请求后30天内作出答复.
在某些情况下，我们可能会拒绝您的请求. 如果我们这样做了, 我们会以书面形式告诉你我们拒绝的理由, 如果适用的话, 解释你有权要求复审拒绝.
B. The Right to Request Limits on the Uses and Disclosures of Your Protected Health Information for 医疗业务 Purposes.
You have the right to ask that we limit how we use or disclose your protected health information for treatment, 付款, 或者医疗保健业务. 限制可能包括要求我们限制向您识别的人披露您的信息的方式. 您不得限制法律要求我们进行的使用和披露.
您可以将您的书面请求发送到本通知末尾所列的地址. Your written request must state the specific restriction requested and to whom you want the restriction to apply. 我们将考虑您的请求，尽管法律上没有要求我们同意. 我们将尽力遵从你方不妨碍我们业务的意愿. 如果我们接受你的要求, 除紧急情况外，我们将以书面形式规定任何限制并遵守.
C. 要求保密通信的权利.
如果您认为披露全部或部分您受保护的健康信息可能会危及您, 您可要求本皇冠搏彩中心网站以另一种方式或在另一地点与您沟通. 例如，您可以要求将所有通信发送到您的工作地址. 您可以使用本通知末尾的联系方式要求进行保密通信. 您的请求必须指定与您通信的替代方式或地点. It also must state that the disclosure of all or part of the protected health information in a manner inconsistent with your instructions would put you in danger. 的资金 will accommodate a request for confidential communications that is reasonable and that states that the disclosure of all or part of your protected health information could endanger you.
D. 获得我们所披露的信息清单的权利
您有权获得我们披露您受保护的健康信息的实例列表. 该清单将不包括用于治疗的用途或披露, 支付或医疗保健业务, 那些是直接给你的, 或者那些你授权的人. 这份名单也不包括出于国家安全目的而披露的信息, 致惩戒或执法人员, 或在四月十四日之前, 2003.
您可以将您的请求发送到本通知末尾所列的地址. 我们将在收到您的请求后60天内作出答复. The list we will give you includes disclosures made in the last six years unless you request a shorter time. 该清单将包括披露日期, 被披露信息的对象(如果知道，包括他们的地址), 对所披露信息的简要描述, 以及披露的原因. 我们将免费提供清单给您.
E. 更正或更新您受保护的健康信息的权利.
If you believe that there is a mistake in your protected health information or that a piece of important information is missing, 您有权要求我们更正已有的信息或添加缺失的信息. 你必须以书面形式提出要求及提出要求的理由. 您可以将您的书面请求发送到本通知末尾所列的地址. 我们将在收到您的请求后60天内作出答复.
如果信息(i)正确和完整，我们可以书面拒绝您的请求, (ii) not 创建d by us (unless you provide us with a reasonable basis to believe that the originator of the information is no longer available to act on your request), (iii)不得向您或您的个人代表披露, 或(iv)不属于我们的记录. Our written denial will state the reasons for the denial and explain your right to file a written statement of disagreement with the denial. 如果你不提交, you have the right to request that your request and our denial be attached to all future disclosures of your protected health information.
如果我们同意你的请求, 我们将对您的信息进行更改, 告诉你我们已经做到了, 并告诉其他需要了解这一变化的人.
F. 有权通过电子邮件获得本通知或收到本通知的纸质副本
你有权索取本通知书的书面副本, 即使您已同意以电子方式接收本通知. 欲索取本通知的纸质副本，请使用以下联系方式与皇冠搏彩中心网站联系.
3. 本通知的更改
本皇冠搏彩中心网站保留随时更改本通知条款和我们的隐私政策的权利. Any changes will apply to the information we already have as well as any information we receive in the future. 的资金 will send a revised copy of this Notice to Funds’ beneficiaries within sixty (60) days of any material change to this Notice.
IV. 如何行使你的权利
你可以拨打皇冠搏彩中心网站健康呼叫中心的电话 1-800-291-1425 寻求帮助. The Health Call Center will help you determine when you need to file a written request and provide you with the correct form and instructions.
V. 如何投诉我们的私隐做法
如果你认为我们侵犯了你的隐私权, 或者你不同意我们关于获取你受保护的健康信息的决定, 阁下可向皇冠搏彩中心网站私隐主任提出投诉. 您也可以向卫生与公众服务部部长提交书面投诉, 独立大道200号, S.W.华盛顿特区.C. 20201. 如果您对我们的隐私做法提出投诉，我们不会对您采取报复行动.
VI. 有关本通知的信息或投诉我们的隐私做法的联系人
如果您对本通知有任何疑问或对我们的隐私惯例有任何投诉, 联络皇冠搏彩中心网站私隐主任:
