Your Information. Your Rights. Our Responsibilities.
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.
With Sutter Health Plus, you have access to a network of high-quality doctors and hospitals.
Learn MoreSearch providers and facilities by location, specialty and more.
Find a ProviderOffer your clients affordable and comprehensive coverage with access to a high-quality network.
Learn MoreOffer your employees affordable and comprehensive coverage with access to a high-quality network.
Learn MoreAccess the forms, resources and other information you need to work with Sutter Health Plus.
Learn MoreSutter Health Plus offers health plans that include access to a high-quality network of providers.
Learn MoreWith Sutter Health Plus, you have access to a network of high-quality doctors and hospitals.
Learn MoreSearch providers and facilities by location, specialty and more.
Find A ProviderOffer your clients affordable and comprehensive coverage with access to a high-quality network.
Learn MoreOffer your employees affordable and comprehensive coverage with access to a high-quality network.
Learn MoreAccess the forms, resources and other information you need to work with Sutter Health Plus.
Learn MoreSutter Health Plus offers health plans that include access to a high-quality network of providers.
Learn MoreThis 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.
This notice is for participants enrolled in Sutter Health Plus (SHP).
SHP is part of the Sutter Health Affiliated Covered Entity, a designation for purposes of the Health Insurance Portability and Accountability Act. When you are both a member of SHP and a patient of Sutter Health, SHP and Sutter Health may share your information as permitted under HIPAA and state law.
For purposes of this notice, your medical information is information collected, maintained, used and/or disclosed by SHP, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition, the provision of health care to you; or the past, present, or future payment for health care furnished to you. It includes genetic information as defined under Title I of the Genetic Information Nondiscrimination Act of 2008.
State Law
We will comply with more stringent state law to the extent applicable.
When it comes to your health information, you have rights. You may contact the Sutter Health privacy office at (800) 500-1950 to exercise the following rights:
Access to an electronic or paper copy of your health and claims information
Ask us to correct your health and claims information
Request confidential communications
Ask us to limit what we use or share
Get a list of those with whom we’ve shared information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you feel your rights are violated
For certain health information, you can tell us your choices about what we share. Let us know if you have a clear preference for how we share your information in the situations described below. We will follow your instructions where we can.
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 still be able to share minimal information if we believe it is in your best interest or when needed to lessen a serious and imminent threat to health or safety.
We 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. We may also share your health information with others who provide care to you such as hospitals, nursing homes, doctors, nurses, or others involved in your care.
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 share your health information to run our group health plan, improve your care, 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.
Example: We use health information about you to manage your treatment and services.
SHP may use and share your health information to support necessary business, legal, auditing, financial and clinical functions. Examples of these functions may include: auditing our clinical procedures, analyzing our cost of care, rating our risk and determining our premiums for your health plan, quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, evaluating practitioner and provider performance, and conducting training programs, accreditation, certification, licensing or credentialing activities.
Bill and pay for your services
SHP may disclose your health information to pay claims from physicians, hospitals and other providers for services delivered to you that are covered by the health plan, to determine your eligibility for benefits, to coordinate benefits, to examine medical necessity, to obtain premiums and to issue explanations of benefits to the person who subscribes to the health plan. We may disclose your medical information to a health care provider or other entity so they can obtain payment or engage in these payment activities.
Example: We use your health information to determine the amount of payment owed to a health care provider.
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.
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.
For more information see: hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Help with public health and safety issues
We can share health information about you for certain situations such as:
Do research
We can use or share your health information for health research.
Comply 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 it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Business Associates
There are some services provided in our organization through contracts with business associates (for example, administering health care claims). When services are provided by contracted business associates, we may disclose the appropriate portions of your health information to them so they can perform the job we have asked them to do. However, our business associates are also required by law to safeguard your information.
Other Uses of Health Information
Uses and disclosures of health information that are not discussed by this notice or required by law will only be made with your written permission. Your written authorization will typically be required for most uses and disclosures of psychotherapy notes, if you receive treatment in an addiction treatment program, most uses and disclosures for marketing and most arrangements involving the sale of health information. We comply with state and federal laws that require extra protection for your health information. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time.
For more information see: hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
Changes to the Terms of this Notice
We may change our Notice of Privacy Practices from time to time. The changes will apply to all health and claims information we have about you. A copy of the notice that is currently in effect will be given to new health plan members. The new notice will be available to all members upon request and the notice currently in effect will be posted on the plan website.
If you have any questions, you may contact:
Privacy and Information Security Officer
9100 Foothills Blvd
Roseville, CA 95747
(855) 771-4220
Effective Date: February 5, 2018
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