THIS POLICY DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
In Your Golden Years and its Business Associates are required by law to maintain the privacy of “Protected Health Information(PHI)”. PHI includes any information we obtain from you or others that relates to your physical or mental health, the health care you have received, or payment for health care.
PERMITTED USES AND DISCLOSURES
We may use protected information provided to us in order to provide the services you require and to aid in serving you better. We may disclose information to Business Associates or other Covered Entities in order to serve you better. We may contact you to provide information about health-related services and benefits that may be of interest to you.
We may disclose your PHI only as permitted by applicable law. This may include disclosure to your family or friends or any other individuals you identify as being involved in your care or payment of your care. We will only disclose information directly relevant to your care and that is directly relevant to their involvement in your care.
When permitted by law, we may coordinate our uses and disclosures of PHI with public or private entities authorized by law to assist in disaster relief efforts.
YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU
You have the right to expect your protected information will be kept secure and used only for legitimate purposes.
- You have a right to understand how your PHI may be used and disclosed my In Your Golden Years.
- You have a right to access this privacy notice that tells you how your PHI may be used or disclosed.
- You have a right to ask questions about any health privacy issue and have those questions clearly and promptly answered.
- You have a (limited) right to know who has seen your health information, and for what purpose.
- You have a right to see, and to keep a copy of, all your health records. Your request for a copy of your record must be in writing.
- You have a right to ask for correction or inclusion of a statement of disagreement for anything in your records that you feel is in error. Your request must be submitted in writing and include supporting documentation.
- You have the right to authorize, or refuse, additional uses of your PHI, such as for fundraising, marketing, or research.
- You have a right to request extra protections for PHI you consider especially sensitive and to request we communicate with you by alternative means.
If you believe your privacy rights have been violated, you should immediately contact our Privacy and Security Official. We will not take any action against you for filing a complaint. You may also file a complaint with the Department of Health and Human Services.
If you have any questions or would like further information about this policy, please contact:
Tamara Sykes, Privacy and Security Official
In Your Golden Years
1014 Columbus Ave.
Bay City, MI 48708
Updated: September 2017