Notice of Privacy Practices
NOTICE OF PRIVACY PRACTICES
This Notice is effective March 26, 2013
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
WE ARE REQUIRED BY LAW TO PROTECT MEDICAL INFORMATION ABOUT YOU
Managed Healthcare Pharmacy is committed to protecting the privacy of your personal and medical information. We are required by applicable federal and state laws to protect the privacy of your personal and medical information. Personal and medical information means any information regarding your health care and treatment: identifiable factors including your name, age, address, and financial information. Medical information may be about health care we provided to you or payment for health care provided to you. It may also be information about your past, present of future medical condition.
We are also required by law to provide you with this Notice of Privacy Practices explaining our legal duties and privacy practices with respect to medical information. We are legally required to follow the terms of this Notice. In other words, we are only allowed to use and disclose medical information in the manner that we have described in this Notice.
We may change the terms of this Notice in the future. We reserve the right to make changes and make the new Notice effective for all medical information that we maintain. If we make changes to the Notice, we will:
· Post the new Notice on www.managedhealthcarepharmacy.com
· Post the new Notice in our waiting area
· Have copies of the new Notice available upon request. Please contact our Privacy Officer at (866) 367-8701.
The Rest of this Notice will:
· Discuss how we may use and disclose medical information about you.
· Explain your rights with respect to medical information about you.
· Describe how and where you may file a privacy-related complaint.
If, at any time, you have questions about information in this Notice or about our privacy policies, procedures or practices, you can contact our Privacy Officer at (866) 367-8701.
WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU IN SEVERAL CIRCUMSTANCES
We use and disclose medical information about patients every day. This section of our Notice explains in some detail how we may use and disclose medical information about you in order to provide healthcare, obtain payment for that healthcare, and operate our business efficiently. This section briefly mentions several other circumstances in which we may use or disclose medical information about you. For more information about any of these uses or disclosures, or about any of our privacy policies, procedures or practices, contact our Privacy Officer at (866) 367-8701.
YOU MAY FILE A COMPLAINT ABOUT OUR PRIVACY PRACTICES
If you believe that your privacy rights have been violated or if you are dissatisfied with our privacy practice you may contact us by using the information listed below.
Phone: (866) 367-8701▪ P.O. Box 2767 ▪ Eugene, OR 97402 ▪ Attention: Privacy Officer
You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201. Or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints.