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HIPAA: Your Right to Health Insurance and Privacy
- Establish national standards for electronic health information transactions
- Secure the privacy of health data
- Reduce the chance that you will lose your health insurance
- Make it easier for you to change insurance if you lose your coverage or do not have any insurance
HIPAA’s Privacy Rule
Protecting Your Information From Others
- Doctors, hospitals, and insurance companies for purposes of billing and payment or to coordinate care
- Anybody in or out of your family whom you designate to help you with your healthcare
- Safety regulators looking into care at nursing homes
- Public health officials under some circumstances, such as reporting when the flu is in your area
- Police when a crime is committed
Granting You Greater Access to Your Own Information
- Receive a copy of your health record if you ask for it, including symptoms, diagnoses, test results, and medications.
- Make corrections in the official file
- Be told how your health information is used and who it is shared with
- Choose whether you want your information to be shared
Buying or Changing Health Plans
- Health insurance through employers
- Individual (non-employment based) health insurance
- Coverage through a high-risk pool
- Allows you to buy insurance even if you have pre-existing condition
- Stops health insurance companies from denying you coverage because of your health or your family member's health
- Guarantees your right to buy insurance
- Guarantees your right to renew your insurance
What Organizations Does HIPAA Apply to?
- Doctors, dentists
- Hospitals, clinics, nursing homes
- Physical and occupational therapists
- Drug and medical equipment providers
- Third-party medical billing companies and clearinghouses
- Health insurers, group healthcare plans, HMOs, Medicare, Medicaid, and other government sponsored healthcare programs
Employee Benefits Security Administration The US Department of Labor http://www.dol.gov
Office for Civil Rights—Health Privacy Information United States Department of Health & Human Services http://www.hhs.gov
Health Canada http://www.hc-sc.gc.ca
Healthy Alberta http://www.healthyalberta.com
Health insurance reform for consumers. Centers for Medicare & Medicaid Services website. Available at: https://www.cms.gov/Regulations-and-Guidance/Health-Insurance-Reform/HealthInsReformforConsume/index.html?redirect=/HealthInsReformforConsume. Updated April 9, 2013. Accessed August 12, 2014.
HIPAA - general information. Centers for Medicare & Medicaid Services website. Available at: http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/HIPAAGenInfo/index.html?redirect=/HIPAAGenInfo. Updated April 12, 2013. Accessed August 12, 2014.
Frequently asked questions about portability of health coverage and HIPAA. US Department of Labor website. Available at: http://www.dol.gov/ebsa/faqs/faq%5Fconsumer%5Fhipaa.html. Accessed August 12, 2014.
Health information privacy. US Department of Health and Human Services Department website. Available at: http://www.hhs.gov/ocr/privacy. Accessed August 12, 2014.
Statement of HIPAA portability rights. Arizona Health Care Cost Containment System website. Available at: http://www.azahcccs.gov/privacy/Downloads/StatementofHIPAAPortabilityRights.pdf. Accessed August 12 2014.
Understanding HIPAA privacy. US Department of Health & Human Services website. Available at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html. Accessed August 12, 2014.
Your health information privacy rights. US Department of Health and Human Services website. Available at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/consumer%5Frights.pdf. Accessed August 12, 2014.
- Reviewer: Michael Woods, MD
- Review Date: 08/2014
- Update Date: 08/12/2014