Page 37 - PA_HMO_Member_Kit

Basic HTML Version

We may use or share your member information with others to help manage your health care. For example, we might
talk to your doctor to suggest a disease management or wellness program that could help improve your health.
We may use or share your member information to help us determine who is financially responsible for your medical
We share your member information with affiliated companies as permitted by law, non-affiliated third parties with
whom we contract to help us operate HAP, and with others who are involved in providing or paying for health care
services for you. We may share your information with others who help us conduct our business operations. If we do
so, we will require these persons or entities to protect the privacy and security of your information, and to return or
destroy such information when it is no longer needed for our business operations.
Other Uses and Disclosures that are Permitted or Required
HAP may also use or release your health information:
• For certain types of public health or disaster relief efforts
• To give you information about alternative medical treatments and programs or about health related products and
services that you may be interested in. For example, we might send you information about smoking cessation or
weight loss programs.
• To give you reminders relating to your health such as a reminder to refill your prescription(s) or to schedule
recommended health screenings.
• For research purposes. For example, a research organization may wish to compare outcomes of all patients that
receive a particular drug and will need to review a series of medical records. In all cases where your specific
authorization has not been obtained, your privacy will be protected by strict confidentiality requirements applied
by an institutional review board or privacy board, which oversees the research, or by representations of the
researchers that limit their use and disclosure.
• To report information to state and federal agencies that regulate us, such as the US Department of Health and
Human Services and the Michigan Office of Financial and Insurance Services.
• When needed by the employer/plan sponsor to administer your health benefit plan
• For certain FDA investigations such as investigations of harmful events, product defects or for product recalls.
• For public health activities if we believe there is a serious health or safety threat.
• For health oversight activities authorized by law.
• For court proceedings and law enforcement purposes.
• To a government authority regarding abuse, neglect or domestic violence.
• To a coroner or medical examiner to identify a deceased person, determine a cause of death, or as authorized by
law. We may also share member information with funeral directors as necessary to carry out their duties.
• To comply with workers’ compensation laws.
• For procurement, banking or transplantation of organs, eyes or tissue.
• When permitted to be released to government agencies for protection of the president.
• For underwriting purposes, when allowed by law. We are not permitted to use or release genetic information
about you for underwriting purposes.