The Health Insurance and Accountability Act (HIPAA) Privacy Rule affords members the right to receive a notice that describes how health information may be used and disclosed and how to get access to this information.
Notice of Privacy Practices Effective Date September 23, 2013.
Download 2015 Notice of Privacy Practices
Download 2016 Notice of Privacy Practices
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.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out payment, treatment, and health care operations, and for other purposes that are permitted or required by law. It also sets out our legal obligations concerning your protected health information. Additionally, this Notice describes your rights to access and control your protected health information.
Protected health information is individually identifiable health information, including demographic information, collected from you or created or received by a health care provider, a health plan, your employer, or a health care clearinghouse and that relates to: (i) your past, present, or future physical or mental health or condition; (ii) the provision of health care to you; or (iii) the past, present, or future payment for the provision of health care to you.
If you have any questions or want additional information about the Notice or the policies and procedures described in the Notice, please contact:
Attn: Privacy Official, Allegian Choice HMO
7878 N. 16th St., Ste. 105
Phoenix, Arizona 85020
This notice is effective on September 23, 2013.
We Have a Legal Duty to Safeguard Your Protected Health Information
We are required by law to maintain the privacy of your protected health information. We are obligated to provide you with a copy of this Notice of our legal duties and our privacy practices with respect to protected health information. And we must abide by the terms of this Notice. We reserve the right to change the provisions of our Notice and make the new provisions effective for all protected health information that we maintain. If we make a material change to our Notice, we will mail a revised Notice to the address that we have on record for you.
How We May Use and Disclose Your Protected Health Information
The following is a description of how we are most likely to use and/or disclose your protected health information. Where state law provides additional restrictions on how we can use and disclose information, we will follow applicable state laws.