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UnitedHealthcare Community Plan
UnitedHealthcare Community Plan

Privacy and Security Policies

 

HEALTH PLAN NOTICES OF PRIVACY PRACTICES

THIS NOTICE SAYS HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND SHARED. IT SAYS HOW YOU CAN GET ACCESS TO THIS INFORMATION.  READ IT CAREFULLY.

Effective January 1, 2016.

We[1] must by law protect the privacy of your health information (“HI”). We must send you this notice. It tells you:

§  How we may use your HI.

§  When we can share your HI with others. 

§  What rights you have to access your HI.

We must by law follow the terms of this notice.

“Health information” (or HI) in this notice means information related to your health or health care services that can be used to identify you .  We have the right to change our privacy practices. If we change them, we will notify you by mail or e-mail, as permitted by law. If we maintain a website for your health plan, we will also post the new notice there (www.uhccommunityplan.com).  We have the right to make the changed notice apply to HI that we have now and to future information.  We will follow the law and give you notice of a breach of your HI.

We collect and keep your HI so we can run our business.  HI may be oral, written or electronic.  We limit access to all types of your HI to our employees and service providers who manage your coverage and provide services. We have physical, electronic and procedural safeguards per federal standards to guard your HI.

How We Use or Share Your Information

We must use and share your HI with:

§  You or your legal representative.

§  The Secretary of the Department of Health and Human Services.

We have the right to use and share your HI for certain purposes.  This must be for your treatment, to pay for your care, and to run our business. For example, we may use and share your HI:

§  For Payment.  We may use or share your HI to process premium payments and claims. This also may include coordinating benefits. For example, we may tell a doctor if you are eligible for coverage and how much of the bill may be covered.

§  For Treatment or Managing Care.  We may share your HI with providers to help them give you care.

§  For Health Care Operations Related to Your Care.  We may suggest a disease management or wellness program. We may study data to see how we can improve our services.

§  To Tell You about Health Programs or Products. We may tell you about other treatments, products, and services. These activities may be limited by law.

§  For Plan Sponsors. We may give enrollment, disenrollment, and summary HI to your employer plan sponsor. We may give them other HI if they agree to limit its use as required by federal law.

§  For Underwriting Purposes. We may use your HI to make underwriting decisions, but we will not use your genetic HI for underwriting purposes.

§  For Reminders on Benefits or Care. We may use your HI to send you information on your health benefits or care and doctor’s appointment reminders.

We may use or share your HI as follows:

§  As Required by Law.  

§  To Persons Involved With Your Care. This may be to a family member. This may happen if you are unable to agree or object. Examples are an emergency or when you agree or fail to object when asked.  If you are not able to object, we will use our best judgment. If you pass away, we may share HI with family members or friends who helped with your care prior to your death unless doing so would go against wishes that you shared with us before your death.

§  For Public Health Activities. This may be to prevent disease outbreaks.

§  For Reporting Abuse, Neglect or Domestic Violence.  We may only share with entities allowed by law to get this HI. This may be a social or protective service agency.

§  For Health Oversight Activities to an agency allowed by the law to get the HI. This may be for licensure, audits and fraud and abuse investigations.

§  For Judicial or Administrative Proceedings.  To answer a court order or subpoena.

§  For Law Enforcement. To find a missing person or report a crime. 

§  For Threats to Health or Safety. This may be to public health agencies or law enforcement.  An example is in an emergency or disaster.

§  For Government Functions. This may be for military and veteran use, national security, or the protective services.

§  For Workers’ Compensation. To comply with labor laws.

§  For Research. To study disease or disability, as allowed by law.

§  To Give Information on Decedents. This may be to a coroner or medical examiner.  To identify the deceased, find a cause of death or as stated by law. We may give HI to funeral directors.

§  For Organ Transplant. To help get, store or transplant organs, eyes or tissue.

§  To Correctional Institutions or Law Enforcement. For persons in custody: (1) To give health care; (2) To protect your health and the health of others; (3) For the security of the institution.

§  To Our Business Associates if needed to give you services.  Our associates agree to protect your HI. They are not allowed to use HI other than as allowed by our contract with them. 

§  Other Restrictions.  Federal and state laws may limit the use and sharing of highly confidential HI. This may include state laws on:

1. HIV/AIDS

2. Mental health

3. Genetic tests

4. Alcohol and drug abuse

5. Sexually transmitted diseases and reproductive health

6. Child or adult abuse or neglect or sexual assault

If stricter laws apply, we aim to meet those laws. The attached “Federal and State Amendments” document describes those laws in more detail.

Except as stated in this notice, we use your HI only with your written consent. This includes getting your written consent to share psychotherapy notes about you, to sell your HI to other people, or to use your HI in certain promotional mailings. If you allow us to share your HI, we do not promise that the person who gets it will not share it. You may take back your consent, unless we have acted on it. To find out how, call the phone number on your ID card.

Your Rights

You have a right:

§  To ask us to limit use or sharing for treatment, payment, or health care operations. You can ask to limit sharing with family members or others involved in your care or payment for it. We may allow your dependents to ask for limits. We will try to honor your request, but we do not have to do so.

§  To ask to get confidential communications in a different way or place. (For example, at a P.O. Box instead of your home.)  We will agree to your request when a disclosure could endanger you. We take verbal requests. You can change your request. This must be in writing. Mail it to the address below.

§  To see or get a copy of certain HI that we use to make decisions about you. You must ask in writing. Mail it to the address below. If we keep these records in electronic form, you will have the right to ask for an electronic copy to be sent to you. You can ask to have your record sent to a third party. We may send you a summary.  We may charge for copies. We may deny your request. If we deny your request, you may have the denial reviewed. 

§  To ask to amend. If you think your HI is wrong or incomplete you can ask to change it. You must ask in writing. You must give the reasons for the change. Mail this to the address below. If we deny your request, you may add your disagreement to your HI.

§  To get an accounting of HI shared in the six years prior to your request. This will not include any HI shared: (i) (i) For treatment, payment, and health care operations; (ii) With you or with your consent; (iii) With correctional institutions or law enforcement. This will not list the disclosures that federal law does not require us to track.

§  To get a paper copy of this notice. You may ask for a copy at any time. Even if you agreed to get this notice electronically, you have a right to a paper copy. If we maintain a website for your health plan, you may also get a copy at our website, www.uhccommunityplan.com.

Using Your Rights

§  To Contact your Health Plan.  Call the phone number on your ID card. Or you may contact the UnitedHealth Group Call Center at 1-866-633-2446, or TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week.

§  To Submit a Written Request.  Mail to:

UnitedHealthcare Privacy Office 
MN017-E300
P.O. Box 1459
Minneapolis, MN  55440

§  To File a Complaint. If you think your privacy rights have been violated, you may send a complaint at the address above.

You may also notify the Secretary of the U.S. Department of Health and Human Services. We will not take any action against you for filing a complaint.

[1]  This Medical Information Notice of Privacy Practices applies to the following health plans that are affiliated with UnitedHealth Group: AmeriChoice of New Jersey, Inc.; Arizona Physicians IPA, Inc.; Health Plan of Nevada, Inc.; Unison Health Plan of Delaware, Inc.; UnitedHealthcare Community Plan of Ohio, Inc.; UnitedHealthcare Community Plan of Texas, L.L.C.; UnitedHealthcare Community Plan, Inc.; UnitedHealthcare Insurance Company; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Louisiana, Inc.; UnitedHealthcare of the Mid-Atlantic, Inc.; UnitedHealthcare of the Midlands, Inc.; UnitedHealthcare of the Midwest, Inc.; United Healthcare of Mississippi, Inc.; UnitedHealthcare of New England, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of New York, Inc.; UnitedHealthcare of Pennsylvania, Inc.; UnitedHealthcare of Washington, Inc.; UnitedHealthcare of Wisconsin, Inc.; UnitedHealthcare Plan of the River Valley, Inc.

 

 

THIS NOTICE SAYS HOW YOUR FINANCIAL INFORMATION MAY BE USED AND SHARED. REVIEW IT CAREFULLY.

Effective January 1, 2016

We[2] protect your “personal financial information” (“FI”). This means non-health information about someone with health care coverage or someone applying for coverage. It is information that identifies the person and is generally not public.

Information We Collect

We get FI about you from:

§  Applications or forms. This may be name, address, age and social security number.

§  Your transactions with us or others. This may be premium payment data.

Sharing of FI

We do not share FI about our members or former members, except as required or permitted by law.

To run our business, we may share FI without your consent to our affiliates. This is to tell them about your transactions, such as premium payment.

·         To our corporate affiliates, which include financial service providers, such as other insurers, and non-financial companies, such as data processors;

  • To other companies for our everyday business purposes, such as to process your transactions, maintain your account(s), or respond to court orders and legal investigations; and
  • To other companies that perform services for us, including sending promotional communications on our behalf.

Confidentiality and Security

We limit access to your FI to our employees and service providers who manage your coverage and provide services. We have physical, electronic and procedural safeguards per federal standards to guard your FI.

Questions About this Notice

If you have any questions about this notice, please call the toll-free member phone number on health plan ID card or contact the UnitedHealth Group Customer Call Center at 1-866-633-2446, or TTY 711.

2For purposes of this Financial Information Privacy Notice, “we” or “us” refers to the entities listed in footnote 1, beginning on the page ____ of the Health Plan Notices of Privacy Practices, plus the following UnitedHealthcare affiliates: Alere Women’s and Children’s Health, LLC; AmeriChoice Health Services, Inc.; Connextions HCI, LLC; Dental Benefit Providers, Inc.; HealthAllies, Inc.; LifePrint East, Inc.; Life Print Health, Inc.; MAMSI Insurance Resources, LLC; Managed Physical Network, Inc.; OneNet PPO, LLC; OptumHealth Care Solutions, Inc.; OrthoNet, LLC; OrthoNet of the Mid-Atlantic, Inc.; OrthoNet West, LLC,; OrthoNet of the South, Inc.; Oxford Benefit Management, Inc.; Oxford Health Plans LLC; Spectera, Inc.; UMR, Inc.; Unison Administrative Services, LLC; United Behavioral Health; United Behavioral Health of New York I.P.A., Inc.; United HealthCare Services, Inc.; UnitedHealth Advisors, LLC; UnitedHealthcare Service LLC; UnitedHealthcare Services Company of the River Valley, Inc.; UnitedHealthOne Agency, Inc. This Financial Information Privacy Notice only applies where required by law. Specifically, it does not apply to (1) health care insurance products offered in Nevada by Health Plan of Nevada, Inc. and Sierra Health and Life Insurance Company, Inc.; or (2) other UnitedHealth Group healthplans in states that provide exceptions

 

 UNITEDHEALTH GROUP

HEALTH PLAN NOTICE OF PRIVACY PRACTICES:

FEDERAL AND STATE AMENDMENTS

Revised: January 1, 2016

The first part of this Notice (pages 1-4) says how we may use and share your health information (“HI”) under federal privacy rules.  Other laws may limit these rights. The charts below:

  1. Show the categories subject to stricter laws.
  2. Give you a summary of when we can use and share your HI without your consent.

Your written consent, if needed, must meet the rules of the federal or state law that applies. 

 

Summary of Federal Laws

Alcohol & Drug Abuse Information

We are allowed to use and disclose alcohol and drug abuse information that is protected by federal law only (1) in certain limited circumstances, and/or disclose only (2) to specific recipients.

Genetic Information

We are not allowed to use genetic information for underwriting purposes.

 

Summary of State Laws

General Health Information

We are allowed to disclose general health information only (1) under certain limited circumstances, and /or (2) to specific recipients.

CA, NE, PR, RI, VT, WA, WI

HMOs must give enrollees an opportunity to approve or refuse disclosures, subject to certain exceptions.

KY

You may be able to restrict certain electronic disclosures of  health information.

NC, NV

We are not allowed to use health information for certain purposes.

CA, IA

We will not use and/or disclosure information regarding certain public assistance programs except for certain purposes

KY, MO, NJ, SD

We must comply with additional restrictions prior to using or disclosing your health information for certain purposes.

KS

Prescriptions

We are allowed to disclose prescription-related information only (1) under certain limited circumstances, and /or (2) to specific recipients.

ID,NH, NV

Communicable Diseases

We are allowed to disclose communicable disease information only (1) under certain limited circumstances, and /or (2) to specific recipients.

AZ, IN, KS, MI, NV, OK


Sexually Transmitted Diseases and Reproductive Health

We are allowed to disclose sexually transmitted disease and/or reproductive health information only (1) under certain limited circumstances and/or (2) to specific recipients.

CA, FL, IN, KS, MI, MT, NJ, NV, PR, WA, WY

Alcohol and Drug Abuse

We are allowed to use and disclose alcohol and drug abuse information (1) under certain limited circumstances, and/or disclose only (2) to specific recipients. 

AR, CT, GA, KY, IL, IN, IA, LA, MN,  NC, NH, OH, WA, WI

Disclosures of alcohol and drug abuse information may be restricted by the individual who is the subject of the information.

WA

Genetic Information

We are not allowed to disclose genetic information without your written consent.

CA, CO, KS, KY, LA, NY, RI, TN, WY

We are allowed to disclose genetic information only (1) under certain limited circumstances and/or (2) to specific recipients.

AK, AZ, FL, GA, IA, IL, MD, MA, ME, MO, NJ, NV, NH, NM, OR, RI, TX, UT, VT

Restrictions apply to (1) the use, and/or (2) the retention of genetic information.

FL, GA, IA, LA, MD, NM, OH, UT, VA, VT

HIV / AIDS

We are allowed to disclose HIV/AIDS-related information only (1) under certain limited circumstances and/or (2) to specific recipients.

AZ, AR, CA, CT, DE, FL, GA, IA, IL, IN, KS, KY, ME, MI, MO, MT, NY, NC, NH, NM, NV, OR, PA, PR, RI, TX, VT, WV, WA, WI, WY

Certain restrictions apply to oral disclosures of HIV/AIDS-related information.

CT, FL

We will collect certain HIV/AIDS-related information only with your written consent.

OR

Mental Health

We are allowed to disclose mental health information only (1) under certain limited circumstances and/or (2) to specific recipients.

CA, CT, DC, IA, IL, IN, KY, MA, MI, NC, NM, PR, TN, WA, WI

Disclosures may be restricted by the individual who is the subject of the information.

WA

Certain restrictions apply to oral disclosures of mental health information.

CT

Certain restrictions apply to the use of mental health information.

ME

Child or Adult Abuse

We are allowed to use and disclose child and/or adult abuse information only (1) under certain limited circumstances, and/or disclose only (2) to specific recipients.

AL, CO, IL, LA, MD, NE, NJ, NM, NY,  RI, TN, TX, UT, WI

 

Website Privacy Policy

Introduction

Your privacy is important to us. This policy will tell you what information we collect, why we collect it, and what we do with it. This policy only applies to this website. In this policy, “we,” “our,” and “Company” mean UnitedHealthcare, affiliated entities, and our parent company UnitedHealth Group.

This website is for a United States audience. Any information you provide will be processed in the United States.

 Cookies

“Cookies” are small text files that are stored on your computer. Cookies make it easy for you to move around a website without having to re-enter your name, password, and preferences. The Company uses cookies to see which pages are used, how often they are used, and to enable certain website features.

Cookies are not used to collect any personal information. They do not tell us who you are. Unless it is not allowed by law, we may use cookies.

You may turn off cookies at any time by changing your browser settings. This may limit your use of website features. You may also manage the use of “flash” technologies, with the Flash management tools available at Adobe’s website.

Your Personal Information

“Personal information” is information that tells us who you are. It may include your full name, telephone number, e-mail address, address, or certain account numbers. You don’t  have to give us your personal information. If you don’t, you may limit your use of certain website functions.

We may contact you using the email address, telephone number, cell phone number, text message number, or fax number you provide through this website. We may use this information to contact you about managing your health.

We may combine personal information that you provide us through this website with other personal information held by the Company, including with affiliates or our vendors. For example, if you bought a product or service from us, we may combine personal information you provide through this website with information regarding your receipt of the product or service.

Sharing Personal Information

We will only share your personal information with third parties as outlined in this policy and as allowed by law.

We may share personal information if all or part of the Company is sold, merged, dissolved, acquired, or in a similar transaction.

We may share personal information in response to a court order, subpoena, search warrant, law or regulation. We may cooperate with law enforcement authorities in investigating and prosecuting activities that are illegal, violate our rules, or may be harmful to other visitors.

If you submit information or a posting to a chat room, bulletin board, or similar “chat” related portion of this website, the information you submit along with your screen name will be visible to all visitors. Visitors may share the information with others, and the information may become public.

We may also share personal information with other third party companies that we hire to perform services on our behalf.

This website may allow you to view your visitor profile and related personal information and to request changes to such information. If this function is available, we will include a link on this website with a heading like “My Profile”.

Website and Information Security

We maintain reasonable administrative, technical and physical safeguards to help protect the information that you provide on this website. However, we can’t guarantee the security of our website. We can’t guarantee that your information will not be stopped while being sent to us over the Internet. We are not responsible for other’s illegal acts such as criminal hackers.

Our Online Communication Practices

We may send you newsletters, notification of account status, and other communications, such as marketing communications electronically. We may also send emails regarding general health benefits, website updates, health conditions, and general health topics. You may tell us you don’t want us to send you these communications. Contact us to learn more.

Information for Children under 13

We will not intentionally collect personal information from children under the age of 13 through this website without receiving permission from a parent.  Please contact us if you think that we collected personal information from a child under the age of 13 through this website.

Contact Us. To contact us regarding this Website Privacy Policy and our related privacy practices, please contact us at:

UnitedHealthcare Privacy Office

MN017-E300

PO Box 1459

Minneapolis MN 55440

Date this Policy starts: September 21, 2016.

Changes to this Website Privacy Policy.  We may change this Website Privacy Policy at any time. Changes will show on this page of our website. If we make material changes, we will let you know. 

Social Security Number Protection Policy

We protect the confidentiality of Social Security numbers (“SSNs”) using physical, electronic, and administrative safeguards that help protect against unauthorized access. We don’t allow unlawful disclosure of SSNs.

Spanish Website Privacy Policy (WPP)