Under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), Medx Pharmacy is required to maintain the privacy of your personal health information (PHI), and provide you with a Notice of Privacy Practices that describes how we may use your information for treatment, payment and other purposes that details your rights regarding the privacy of your health and medical information.
If you have any questions about this Notice, please contact Medx Pharmacy at 6302 Broadway St., Ste. #100, Pearland, TX 77581, our phone number is 281-506-2453.
This notice describes how your medical information may be used and disclosed and how you can get access to this information.
PLEASE REVIEW IT CAREFULLY.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION:
The following describes the ways we may use and disclose health information that identifies you (“Protected Health Information” or “PHI”). Except for the purposes described below, we will use and disclose Protected Health Information only with your written permission. You may revoke such permission at any time by writing to our company.
- For Treatment
We may use and disclose your medical information to healthcare professionals for your treatment and other treatment-related health care services. For example, we may disclose medical information about you to doctors, nurses, pharmacists, and other involved professionals in order to provide you with medical care.
- For Payment
We may use or disclose your PHI to your insurer, payor, or other agents in order to bill and collect payment for items or services we provided to you. We may also contact you about a payment or balance due.
- For Health Care Operations
We may use and disclose your PHI for health care operation purposes. These uses and disclosures are necessary so we can provide you with pharmacy benefits and ensure you receive quality services. At your request, we may share your information with other related entities. At your request or the request of your health plan, we may send you information or contact you about programs designed to improve your health.
OTHER ALLOWABLE USES OF YOUR HEALTH INFORMATION
- Business Associates
We may disclose Protected Health Information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. Our business associates are required by contract and law to protect your PHI and only use and disclose it as necessary to perform their services for us.
- Care Coordination and Reminders
We may use or disclose your medical information to contact you about treatment options or alternatives that may be of benefit to you. For example, we may call you to remind you of expired prescriptions, alternative medications that can be of interest to you.
- Individuals Involved in Your Care or Payment for Your Care
We may share Protected Health Information with a person who is involved in your medical care or payment for your care, such as your family or close friends. We also may notify your family about your location or general condition or disclose such information to an entity who is directly involved in your care and treatment, such as our pharmacists.
Under certain circumstances, we may use your PHI to conduct research and we may disclose your PHI to researchers as authorized by law. For example, we may use or disclose your PHI for research that has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information
- As Required By Law.
We will disclose health information about you when required to do so by federal, state or local law.
- To Avert a Serious Threat to Health or Safety
We may use and disclose health information about you to prevent a serious threat to your health and safety or the health and safety of the public or another person. We will only disclose this information to someone who may be able to help prevent the threat.
- Organ or Tissue Donation
If you are an organ donor, we may use or release PHI to organizations that handle organ procurement or other entities engaged in the procurement, banking or transportation of organs, eyes or tissues to facilitate organ, eye or tissue donation and transplantation.
- Military and Veterans.
If you are a member of the armed forces, we may disclose health information about you as required by military authorities. We may also disclose health information about foreign military personnel to the appropriate foreign military authority.
- Worker’s Compensation
We may release PHI for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.
- Public Health Risks
We may disclose Protected Health Information for public health activities. These activities generally include disclosures to prevent or control disease, injury or disability; report births and deaths; report child abuse or neglect; report reactions to medications or problems with products; notify people of recalls of products they may be using; a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
Health Oversight Activities. We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities may include audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
- Data Breach Notification Purposes
We may use or disclose your Protected Health Information to provide legally required notices of unauthorized access to or disclosure of your health information.
- Lawsuits and Disputes
If you are involved in a lawsuit or a dispute, we may disclose PHI in response to a court or administrative order. We also may disclose PHI in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
- Law Enforcement
We may release Protected Health Information if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons or similar process; (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, we are unable to obtain the person’s agreement; (4) about a death we believe may be the result of criminal conduct; (5) about criminal conduct on our premises; and (6) in an emergency to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
- Coroners, Medical Examiners and Funeral Directors
We may disclose medical information to a coroner or medical examiner. This may be necessary to identify a deceased person or determine the cause of death. We may also disclose medical information to funeral directors as necessary to carry out their duties.
- National Security and Intelligence Activities
We may release PHI to authorized federal officials for intelligence, counter-intelligence, and other national security activities authorized by law.
Protective Services for the President and Others. We may disclose PHI to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or to conduct special investigations.
- Correctional Institution
Should you be an inmate of a correctional institution, we may disclose to the institution or its agents health information necessary for your health and the health and safety of others.
OTHER USES OF YOUR INFORMATION
Other uses and disclosures of health information not covered by this Notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU:
You have the following rights regarding Health Information we have about you:
- Right to Inspect and Copy
You have a right to inspect and copy PHI that may be used to make decisions about your care or payment for your care. This includes medical and billing records. You must submit your request in writing to our office. We may charge a fee for the costs of copying, mailing or other supplies associated with your request.
- Right to Amend
If you feel that PHI we have in our record is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office.
- Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we made of PHI for purposes other than treatment, payment, and health care operations or for which you provided written authorization.
- Right to Request Restrictions
You have the right to request a restriction or limitation on the Protected Health Information we use or disclose for treatment, payment, or health care operations. You also have the right to request a limit on the PHI we disclose to someone involved in your care or the payment for your care, like a family member or friend. You could ask that we not use or disclose information about a prescription you had to a family member or friend.
- Right to Get Notice of a Breach
You have the right to be notified upon a breach of any of your unsecured Protected Health Information.
- Right to Request Confidential Communications
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you by mail or at work. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.
- Right to a Paper Copy of This Notice
You have the right to a paper copy of this Notice of Privacy Practices even if you have agreed to receive the Notice electronically. You may ask us to give you a copy of this Notice at any time.
CHANGES TO THIS NOTICE:
We reserve the right to change this notice and make the new notice apply to Protected Health Information we already have as well as any information we receive in the future. We will post a copy of our current notice at our office. The notice will contain the effective date for the revisions and copies can be obtained by contacting us.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact us at 6302 Broadway St., Ste. #100, Pearland, TX 77581 or by telephone at 281-506-2453. All complaints must be made in writing.