Published
as: AIG American General Health Plan HIPAA Memo to Patients, Effective
Date: April 14, 2003
Ed. Note: The federal Health Insurance Portability and
Accountability Act (HIPAA) sets standards for handling healthcare
information. Although this HIPAA Privacy Notice is described
as covering Privacy practices with respect to Personal Medical Information
of Covered Patients, it actually is describing the increasing Disclosure
of such Personal Medical Information to Persons Unknown without
the patient's knowledge or approval. Such practices are contrary to the
intent of the law, and are perversions of health care.
NOTICE OF PRIVACY PRACTICES
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.
The AIG General Health Plan (referred to as "we" or "the Plan") is
required by federal law to provide you with this Notice about your rights
and our legal duties and privacy practices with respect to your personal
medical information. We must follow the terms of this Notice while it is
in effect. Some of the uses and disclosures described in this Notice may
be limited in certain cases by applicable state laws that are more stringent
than the federal standards.
HOW WE USE AND DISCLOSE YOUR MEDICAL INFORMATION
We have the right to use or disclose your personal medical
information to facilitate the payment of your covered health expenses and
to operate the Plan. The following examples illustrate some of the ways
we may use your information:
-
To process claims or to be reimbursed by another insurer that may be
responsible for payment.
-
To conduct quality assessment activities or administrative activities,
including data management or customer service.
We must use or disclose your personal medical information:
-
When required to do so by law.
-
To you or your designated representative upon request.
We may use or disclose your personal medical information:
-
If you are enrolled through a group health plan, to provide summaries
of claims and expenses for enrollees in a group health plan to the plan
sponsor, who may be an employer or an association.
-
To mail materials regarding Plan benefits and other materials containing
your personal medical information to the address we have on record for
the subscriber of the health plan.
-
To public health agencies to prevent or control disease, injury or disability.
-
To government oversight agencies for activities authorized by law.
-
In response to a court or administrative order, a subpoena, a discovery
request or other lawful process.
-
To a law enforcement official in response to a warrant or similar process;
to identify or locate a suspect; or to provide information about the victim
of a crime.
-
For research purposes, provided certain measures have been taken to
protect your privacy.
-
When necessary to prevent a serious threat to your health and safety
or the health and safety of the public or another person.
-
To the extent necessary to comply with state law for workers' compensation
programs.
Other uses or disclosures of your personal medical information will
be made only with your written authorization, unless otherwise permitted
or required by law. You may revoke an authorization at any time in writing,
except to the extent that we have already taken action on the information
disclosed or if we are permitted by law to use the information to contest
a claim or coverage under the Plan.
YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION
You have the following rights regarding your personal medical information:
-
To review or obtain copies of your personal medical records, with some
limited exceptions. Your request to review and/or obtain a copy of your
personal medical records must be made in writing. We may charge a fee for
the costs of producing, copying and mailing your requested information,
but we will tell you the cost in advance.
-
To request an amendment of your personal medical information, if you
feel that information maintained by the Plan is incorrect or incomplete.
Your request must be made in writing and must include the reason you are
seeking a change. If we deny your request, you may have a statement of
your disagreement with our decision added to your medical information.
-
To request a listing of the Plan's disclosures of your personal medical
information. The list will not include our disclosures related our payment
or health care operations, disclosures made to you or with your authorization,
or certain other disclosures, such as for national security purposes. Your
request for a listing of disclosures must be made in writing and must state
a time period for which you want an accounting. This time period may not
be longer than six years and may not include dates before April 14, 2003.
The first listing of disclosures that you request within a 12-month period
will be free.
-
To request that we restrict or limit how we use or disclose your personal
medical information for payment or health care operations. We may not agree
to your request. If we do agree, we will comply with your request unless
the information is needed for an emergency. Your request for a restriction
must be made in writing and must clearly state (1) what information you
want to limit; (2) whether you want to limit how we use or disclose
your information, or both; and (3) to whom you want the restrictions to
apply.
-
To request that we use a certain method to communicate with you about
the Plan in a different manner or send Plan information to a different
place. Your request to receive confidential communication from us must
be made in writing and must clearly state (1) that all or part of the communication
from us could endanger you and (2) how or where you wish to be contacted.
We will accommodate all reasonable requests.
-
To receive a paper copy of this Notice.
You may exercise any of the rights described above by contacting our
privacy office. See the end of this Notice for the contact information.
If you believe that your privacy rights have been violated, you may file
a complaint with us and/or with the Secretary of the Department of Health
and Human Services. All complaints to the Plan must be made in writing
and sent to the privacy office listed at the end of this Notice. We will
not retaliate against you or penalize you for filing a complaint.
CHANGES TO THIS NOTICE
We reserve the right to change the terms of this Notice at any time,
effective for personal medical information that we have already about you
as well as any information that we receive in the future. We also post
a copy of our current Notice on our website at www.agac.com.
Any time we make a material change to this Notice, we will send you the
revised Notice within 60 days of the revision.
CONTACT THE PLAN
If you have any complaints or questions about this Notice or you
want to submit a written request to the Plan as required in any of the
previous sections of this Notice, please contact:
AIG American General, American International Group
ATTN: Privacy Request
Address: 3600 Route 66
Neptune, New Jersey 07753
Telephone: (880) 346-7692, please follow prompt for claims
Fax: (732) 922-7643
Email: Contact us via our Website at www.agac.com
Top of Page - Clinical
Freedom Home Page - Freedom
of Choice Medical Care - Current
Events -
For Further Information and Feedback:
E-mail: frensasc@ix.netcom.com
John H. Frenster, M.D.
Physicians' Educational Series
247 Stockbridge Avenue
Atherton, CA 94027-5446
Phone: +1 650 367 6483
Fax: +1 650 364 1773
WebSite: http://www.frenster.com/
clinical freedom: "the ability of the patient and the physician
to do all that is medically necessary without interference".