This notice describes how personal information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.
Network Health Plan (NHP) and Network Health Insurance Corporation (NHIC) are committed to protecting the privacy of your personal information. This includes all oral, written and electronic non-public information including but not limited to race/ethnicity, language, gender identity, sexual orientation, reproductive health care, substance use disorder records and other protected health information (hereafter referred to as personal information). This Notice of Privacy Practices will be followed by all employees of our workforce, regardless of geographical location. It describes how your personal and financial information may be used and disclosed and how you can get access to or limit sharing of this information. Please review it carefully.
For more information see HIPAA.gov and the Gramm-Leach-Bliley Act.
When it comes to your personal information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get a copy of health and claims records
Ask us to correct health and claims records
Request confidential communications
Ask us to limit what personal information we use or share
Get a list of those with whom we’ve shared health information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you feel your rights are violated
Network Health
Attn: Compliance
1570 Midway Pl.
Menasha, WI 54952
For certain personal information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
State and other applicable laws may prohibit us from using or disclosing information related to certain medical conditions, including but not limited to, HIV/AIDS, mental health, substance abuse and developmental disabilities without written authorization. Substance abuse records or testimony relaying the content of such record, may not be used or disclosed in a civil, criminal, administrative, or legislative proceeding against you absent written consent from you or a court order. In these circumstances we will follow the applicable law.
For example, we are prohibited from disclosing lawful reproductive health care information to law enforcement if the reason they are seeking the information is to conduct an investigation into that person obtaining such care.
In the example discussed above, if Network Health receives such a request from law enforcement we are required to obtain an attestation from the law enforcement agency stating they are not using the requested reproductive health care information to investigate the person for obtaining such care.
If you give us written authorization, you may revoke it at any time in writing. The revocation will not affect any uses or disclosures permitted while the authorization was in effect.
How do we typically use or share your personal information?
We typically use or share your health information in the following ways.
Help manage the health care treatment you receive
We can use your personal information and share it with professionals who are treating you.
For example - A doctor sends us information about your diagnosis and treatment plan so we can arrange additional services.Run our organization
We can use and disclose your information to run our organization and contact you when necessary.
For example - We use health information about you to develop better services for you.Pay for your health services
We can use and disclose your personal information as we pay for your health services.
For example - We may need to disclose your health information with our contracted pharmacy benefit manager to coordinate payment for any prescriptions you may need.Administer your plan
We can disclose your personal information to a third party claims payor for enrollment and claims processing.
For example - We contract with a third party vendor to conduct enrollment and claims processing functions. Therefore, we may disclose your health information to conduct necessary functions to process your enrollment and claims.Business Associates
We may disclose your personal information to persons or organizations which perform a service for us that requires the use or sharing of health information. Such persons or organizations are our contracted business associates, and they are held to the same privacy standards as our organization.
For example – We may need to disclose your health information to a mailing and fulfillment vendor for them to print and mail a letter to you about our diabetes program.Health-Related Products, Benefits and Services
We may contact you to give you information about certain health-related benefits and services which may be of interest to you. We may also contact you to recommend alternative treatments, health care providers or care settings.
For example – If we think you could benefit from an annual health assessment in your home, we may send you a letter with information about it.Help with public health and safety issues
We can share health information about you for certain situations such as:
Notification and communication with family and friends
We may share protected health information about you with family members, friends or others you identify as being involved in your health care or payment for your health care. We will disclose only the health information relevant to the person’s involvement. If you are unable or unavailable to agree or object to a disclosure to such a person, we will use our best professional judgment in communicating with your family or friends.
Compliance with the law
We will share information about you if State or Federal laws require it, including with the Department of Health and Human Services if they want to see that we’re complying with Federal privacy law. Personal information disclosed pursuant to state and other applicable laws may be subject to redisclosure and no longer protected by the Privacy rule or other applicable law.
Your Employer or Organization Sponsoring Your Health (pertains to group health plans only)
We may disclose to your employer whether you are enrolled in or have disenrolled from a health plan that your employer sponsors. We may disclose summary health information to your employer to use to obtain premium bids for the health insurance coverage offered under the group health plan in which you participate or to decide whether to modify, amend or terminate that group health plan.
We may disclose your health information and the health information of others enrolled in your group health plan to your employer to administer your group health plan. Before we may do that, your employer must amend the plan document for your group health plan to establish the limited uses and disclosures it may make of your health information. Please see your group health plan document to see whether your employer may receive this information and for a full explanation of those limitations.
Respond to organ, eye and tissue donation and transplantation requests and work with a medical examiner or funeral director
Address workers’ compensation, law enforcement and other government requests
We can use or share health information about you for the following:
Respond to lawsuits and legal actions
Disaster relief
We may use or disclose your name and location to a public or private entity authorized by law or by its charter to assist in disaster relief efforts.