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Under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), Bayhealth Pharmacy is required to provide you with a Notice of Privacy Practices that describes how we may use your information for treatment, payment and other purposes that details your rights regarding the privacy of your health and medical information.
Effective Date: April 13, 2019
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:
The following describes the ways we may use and disclose health information that identifies you (“Protected Health Information” or “PHI”). Except for the purposes described below, we will use and disclose Protected Health Information only with your written permission. You may revoke such permission at any time by writing to our company Privacy Officer.
For Treatment. We may use and disclose PHI for your treatment and to provide you with treatment-related health care services. For example, we may disclose PHI to doctors, nurses, pharmacists, technicians, or other personnel, including people outside our office, who are involved in your medical care and need the information to provide you with medical care.
For Payment. We may use and disclose Protected Health Information so that we or others may bill and receive payment from you, an insurance company or a third party for the treatment and services you received. For example, we may give your health plan information about you so that they will pay for your treatment.
For Health Care Operations. We may use and disclose PHI for health care operations purposes. These uses and disclosures are necessary to make sure that all of our patients receive quality care and to operate and manage our office. We also may share information with other entities that have a relationship with you (for example, your health plan) for their health care operation activities.
Reminders, Treatment Alternatives and Health Related Benefits and Services. We may use and disclose PHI to contact you to remind you that you have a prescription with us. We also may use and disclose PHI to tell you about treatment alternatives or health-related benefits and services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care. When appropriate, we may share Protected Health Information with a person who is involved in your medical care or payment for your care, such as your family or a close friend. We also may notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort.
Research. Under certain circumstances, we may use and disclose PHI for research. For example, a research project may involve comparing the health of patients who received one medication to those who received another, for the same condition. Before we use or disclose PHI for research, the project must have been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information.
As Required by Law. We will disclose Protected Health Information when required to do so by international, federal, state or local law.
To Avert a Serious Threat to Health or Safety. We may use and disclose PHI when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
Business Associates. We may disclose Protected Health Information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services.
Organ or Tissue Donation. If you are an organ donor, we may use or release PHI to organizations that handle organ procurement.
Military and Veterans. If you are a member of the armed forces, we may release Protected Health Information as required by military command authorities.
Worker’s Compensation. We may release PHI for workers’ compensation or similar programs.
Public Health Risks. We may disclose Protected Health Information for public health activities.
Health Oversight Activities. We may disclose PHI to a health oversight agency for activities authorized by law.
Data Breach Notification Purposes. We may use or disclose your Protected Health Information to provide legally required notices of unauthorized access to or disclosure of your health information.
Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose PHI in response to a court or administrative order.
Law Enforcement. We may release Protected Health Information if asked by a law enforcement official.
Coroners, Medical Examiners, and Funeral Directors. We may release PHI to a coroner or medical examiner.
National Security and Intelligence Activities. We may release PHI to authorized federal officials.
Protective Services for the President and Others. We may disclose PHI to authorized federal officials.
Inmates or Individuals in Custody. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release PHI.
You have the following rights regarding Health Information we have about you:
Right to Inspect and Copy. You have a right to inspect and copy PHI that may be used to make decisions about your care or payment for your care.
Right to an Electronic Copy of Electronic Medical Records. If your Protected Health Information is maintained in an electronic format, you have the right to request that an electronic copy of your record be given to you.
Right to Get Notice of a Breach. You have the right to be notified upon a breach of any of your unsecured Protected Health Information.
Right to Amend. If you feel that PHI we have is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of PHI.
Right to Request Restrictions. You have the right to request a restriction or limitation on the Protected Health Information we use or disclose.
Out-of-Pocket-Payments. If you paid out-of-pocket in full for a specific item or service, you have the right to ask that your Protected Health Information not be disclosed to a health plan.
Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice.
Where to Obtain Forms for Submitting Written Requests. You may obtain forms for submitting written requests by contacting the Bayhealth Pharmacy Privacy Manager at bayhealthrx@gmail.com, 6415 Bay Pkwy, Brooklyn, NY 11204.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services.
All complaints must be made in writing. You will not be penalized for filing a complaint.
The information contained in this HIPAA Privacy Notice is subject to change.
Copyright 2019 AZ RX Media, LLC. All rights reserved. Last updated on May 18, 2022