Federal and state laws protect the privacy of your medical records and personal health information. We protect your personal health information as required by these laws. Your “personal health information” includes the personal information you gave us when you enrolled in this plan as well as your medical records and other medical and health information.
The laws that protect your privacy give you rights related to getting information and controlling how your health information is used. We give you a written notice, called a “Notice of Privacy Practice” contained in your Evidence of Coverage (EOC), that tells about these rights and explains how we protect the privacy of your health information. The same information is provided below.
How do we protect the privacy of your health information?
We make sure that unauthorized people don’t see or change your records. In most situations, if we give your health information to anyone who is not providing your care or paying for your care, we are required to get written permission from you first. Written permission can be given by you or by someone you have given legal power to make decisions for you. There are certain exceptions that do not require us to get your written permission first. These exceptions are allowed or required by law.
For example, we are required to release health information to government agencies that are checking on quality of care. Because you are a member of our plan through Medicare, we are required to give Medicare your health information including information about your Part D prescription drugs. If Medicare releases your information for research or other uses, this will be done according to Federal statutes and regulations.
You have the right to look at your medical records held at the plan, and to get a copy of your records. We are allowed to charge you a fee for making copies. You also have the right to ask us to make additions or corrections to your medical records. If you ask us to do this, we will consider your request and decide whether the changes should be made. You have the right to know how your health information has been shared with others for any purposes that are not routine.
Our pledge regarding medical information
We understand that medical information about you and your health is personal. We are committed to protecting your medical information, including nonpublic personal financial information relating to your healthcare. We create a record of your benefits and eligibility status and claims history. We need this record to provide you with quality healthcare benefits and to comply with certain legal requirements. Hospitals, physicians and other healthcare providers providing healthcare services to Senior Care Plus members may have different policies or notices regarding their uses and disclosures of your medical information.
This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information. We are required by law to: Make sure that medical information that identifies you is kept private; Give you this notice of our legal duties and privacy practices with respect to medical information about you; and follow the terms of the notice that is currently in effect.
Information about our members
In the course of providing healthcare benefits, we may receive the following information about you:
How we protect your medical information
At Senior Care Plus, we restrict access to your medical information to those employees who need it to provide services to you and your dependents. We maintain physical, electronic and procedural safeguards to protect your medical information against unauthorized access and use. For example, access to our facilities is limited to authorized personnel and we protect information we maintain electronically through the use of a variety of technical tools. We have also established a Privacy Office, which has overall responsibility for developing, educating company personnel about, and overseeing the implementation of policies and procedures to safeguard medical information against inappropriate access, use and disclosure, consistent with applicable law.
How we may use and disclose medical information about you
Senior Care Plus will not disclose your medical information to anyone, except with your authorization or otherwise as permitted by law. For some activities, we must have your written authorization to use or disclose your medical information. The law, however, permits Hometown Health to use or disclose your medical information for the following purposes without your authorization:
Medical information of former members of Hometown Health and Senior Care Plus
Senior Care Plus does not destroy the medical information of individuals who terminate their coverage with us. The information is necessary and is used for many purposes described above, even after an individual leaves a plan, and in many cases is subject to legal retention requirements. The practices and procedures that protect that information against inappropriate use or disclosure, however, apply regardless of the status of any individual member.
Your rights regarding medical information about you
You have the following rights regarding medical information we maintain about you:
Changes to the “Notice of Privacy Practice”
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on the Hometown Health website at www.hometownhealth.com. The notice will contain on the first page, in the top right-hand comer, the effective date. In addition, each time you enroll in a Senior Care Plus Plan, we will offer you a copy of the current notice in effect. We also may publish the current notice in our newsletter on at least an annual basis.
Other uses of medical information
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose medical information about you by signing an authorization, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
If you believe your privacy rights have been violated, you may file a complaint with Senior Care Plus or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with Senior Care Plus, contact Senior Care Plus Customer Services at 775-982-3112 or 888-775-7003 (TTY users call the State Relay Service at 711) from 7 a.m.-8 p.m. PST Monday–Friday. We will provide you with the address to file a complaint with the U.S. Department of Health and Human Services upon request. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
If you have any questions for Senior Care Plus regarding your privacy rights, please call Customer Service at 775-982-3112 or 888-775-7003 (TTY users should call the State Relay Service number at 711) from 7 a.m.-8 p.m. PST Monday-Friday.
Senior Care Plus
A Medicare Advantage organization from Hometown Health
Material ID: H2960_2021_SCPWebsite1_M (CMS Accepted)