Your Choices
For certain health 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:
• Share information with your family, close friends, or others involved in
payment for your care
• Share information in a disaster relief situation
• Contact you for fundraising efforts
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.
In these cases we never
share your information
unless you give us
written permission:
• Marketing purposes
• Sale of your information
Notice of Privacy Practices • Page 3
How do we typically use or share your health 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 health information
and share it with professionals who are
treating you.
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.
• We are not allowed to use genetic
information to decide whether
we will give you coverage and the
price of that coverage. This does
not apply to long term care plans.
Example: We use health information
about you to develop better services
for you.
Pay for your
health services
•
We can use and disclose your health
information as we pay for your health
services.
Example: We share information about
you with your dental plan to coordinate
payment for your dental work.
Administer
your plan
• We may disclose your health information
to your health plan sponsor for plan
administration.
Example: Your company contracts with us
to provide a health plan, and we provide
your company with certain statistics to
explain the premiums we charge.
continued on next page
Our Uses and Disclosures