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Protecting Your Privacy

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.

Select Health understands the importance and sensitivity of your health information. We protect the privacy of your health information
because that is the right thing to do. We also follow federal and state laws that govern the use of your health information. We use your
health information in written, oral, and electronic format (and allow others to have it) only as permitted by federal and state laws. These
laws give you certain rights regarding your health information.

Your Health Information Rights

You may:

Review and get a paper copy of your policy or claims records as allowed by law, usually within 30 days of your request (you can also ask us to provide a copy in electronic form, and we will do that if we can readily produce it).
Request and be provided a paper copy of our current Notice of Privacy Practices, or receive an electronic copy by email if you have agreed to receive an electronic copy.
Ask us to contact you at a specific address or phone number if contacting you at your current address or phone number could endanger you.
Request and receive an accounting, as specified by law, of certain situations when your information was shared without your consent.
Receive a notice if Select Health or one of its Business Associates causes a breach of your unsecured information.
Report a privacy concern and be assured that Select Health will investigate your concern thoroughly, supporting you appropriately, and not retaliate against you in any way (in fact, Select Health will provide you with information on how to report any privacy concerns to the Select Health Privacy Coordinator, the Intermountain Corporate Privacy Office, or the Office for Civil Rights, U. S. Department of Health and Human Services).
Request in writing other restrictions on the use of your health information or amendments to your health information if you think it is wrong, though Select Health may not always be able to grant those requests.

How Your Health Information Is Used

1. Common Uses of Health Information.

As we provide health plan benefits, we will gather some of your health information. The law allows us to use or share this health information
for the following purposes.

To receive payment of health coverage premiums and to determine and fulfill Select Health’s responsibility to provide you benefits.
For example, to make coverage determinations, administer claims, and coordinate benefits with other coverage you may have.
To improve the overall Intermountain system as well as to help better manage your care. For example, Intermountain has programs in place to manage the treatment of chronic conditions, such as diabetes or asthma, and as part of these programs, we share information with affiliated providers and Intermountain Health to facilitate improved coordination of the care you may receive for these conditions.
To support health care providers in providing treatment.
To share in limited circumstances health information with your plan sponsor. However, Select Health will only do so if the plan sponsor specifically requests health information for the administration of your health plan and agrees in writing not to use your health information for employment-related actions or decisions.
To identify health-related services that may be beneficial to your health and then contact you about these services.
To request your support for improving healthcare by contributing to one of Intermountain’s charitable foundations. (If you don’t want to be contacted for this purpose or other fundraising communications, call Intermountain’s Privacy Office at 1-800-442-4845 to let us know).
To improve our services to you by allowing companies with whom we contract, called “business associates,” to perform certain specialized work for us. The law requires these business associates to protect your health information and obey the same privacy laws that we do.
To perform a very limited, specific type of health-related research, where the researcher keeps any patient-identifiable information safe and confidential. Intermountain reviews every research request to make sure your privacy is appropriately protected before sharing any health information.
To law enforcement, but only as authorized by law, i.e., to investigate a crime against Select Health or any of its members

2. Required Uses of Health Information

The law sometimes requires us to share information for specific purposes, including the following:

To the Department of Health to report communicable diseases, traumatic injuries, or birth defects, or for vital statistics, such as a baby’s birth.
To a funeral director or an organ-donation agency when a patient dies, or to a medical examiner when appropriate to investigate a suspicious death.
To state authorities to report child or elderly abuse.
To law enforcement.
To a correctional institution, if a member is an inmate, to ensure the correctional institution’s safety.
To the Secret Service or NSA to protect, for example, the country or the President.
To a medical device’s manufacturer, as required by the FDA, to monitor the safety of a medical device.
To court officers, as required by law, in response to a court order or a valid subpoena.
To governmental authorities to prevent serious threats to the public’s health or safety.
To governmental agencies and other affected parties, to report a breach of health-information privacy.
To a worker’s compensation program if a person is injured at work and claims benefits under that program.

3. Uses According to Your Requests

Your preferences matter. If you let us know how you want us to disclose your information in the following situation, we will follow your
directions.

You decide if you want us to share any health or payment information related to your care with your family members or friends.
Please let our Select Health employees know what you want us to share. If you can’t tell us what health or payment information you want us to share, we may use our professional judgment to decide what to share with your family or friends for them to be able to help you.

4. Uses with Your Authorization

Any sharing of your health information, other than as explained above, requires your written authorization. For example, we will not use
your health information unless you authorize us in writing to:

Share any of your health information with marketing companies.
Sell any of your health information.

You can change your mind at any time about sharing your health information. Simply notify Select Health in writing. Please understand
that we may not be able to get back health information that was shared before you changed your mind.

5. Special Legal Protections for Certain Health Information

Select Health complies with federal laws that require extra protection for your health information if you receive treatment in an addiction treatment program, or from a psychotherapist who keeps notes on your therapy that are kept outside of your regular medical record.
Select Health is prohibited from using or disclosing genetic information for underwriting purposes.

6. Public Information

This site offers access to information on lntermountain and Select Health services and facilities, affiliated physicians, and other health related content to anyone who accepts the Terms of Use. Select Health, through selecthealth.org, makes this information publicly available without the need for the user to disclose any personally identifiable information. When you access selecthealth.org, you are not required to register or otherwise provide any personal information.
We do collect limited information relevant to your use of selecthealth.org, such as the number of visitors, site traffic reports, and path analysis. This information is not personally identifiable.

If You Still Have Questions

The Select Health Privacy Coordinator can help you with any questions you may have about the privacy of your health information. He can also address any privacy concerns you may have about your health information and can help you fill out any forms that are needed to exercise your privacy rights.

This privacy notice became effective on March 26, 2013. We may change this privacy notice at any time, and we may use new ways to protect your health information. We always post our current privacy notice on our website at selecthealth.org.

You can also obtain a copy of this notice from any of the Select Health staff by asking for a copy by visiting our website, or by calling the Select Health
Privacy Office at 801-442-7253.

This notice of privacy practices describes the practices of Select Health and of Select Health’s employees and volunteers. (For more information about the specific privacy practices of Intermountain Health and its employees or volunteers working in its hospitals, clinics, doctors’ offices or service departments, please contact them directly by visiting their website at Intermountainhealthcare.org, or by calling Intermountain’s Privacy Office at 800-442-4845.

Medicare Disclaimers

Select Health is an HMO, PPO, SNP plan sponsor with a Medicare contract. Enrollment in Select Health Medicare depends on contract renewal.

Every year, Medicare evaluates plans based on a 5-Star Rating System. Select Health Medicare HMO plans received 4 out of 5 Stars and Select Health Medicare PPO plans received 3.5 out of 5 Stars for the contract year 2025. Visit medicare.gov for more information.

The benefits mentioned are part of a special supplemental program for chronically ill enrollees. Eligible chronic conditions include diabetes, hypertension, musculoskeletal disorders, lung disorders, and cancer, as well as other conditions not listed. Eligibility for the benefits is not based solely on your condition and all eligibility requirements must be met before the benefits are provided. For details, please contact the Plan.

Select Health Medicare + Kroger pharmacy network includes limited lower-cost, preferred pharmacies in Bonneville county in Idaho. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 855-442-9900 (TTY:711) or consult the online pharmacy directory at www.selecthealth.org/medicare/pharmacy.

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
For accommodations of persons with special needs at meetings, call member services at 855-442-9900 (TTY:711).

If you have a compliance concern, or suspect fraud, waste or abuse is occurring, contact Compliance at 800-442-4845 (TTY 711), available 24/7 or email ContactCompliance@imail.org. For anonymous reporting, please call 844-442-5844 (TTY 771), where a third-party vendor will collect and report your concern.

Select Health, Select Health Medicare, Intermountain Health, and the Select Health and the Intermountain Health logos are registered trademarks of Select Health, Inc. or Intermountain Health, Inc., and may not be used except with written permission of the respective owner.

Protecting Your Privacy

Your Health Information Rights

How Your Health Information Is Used

Important Links

Helpful Links

Notices

Contact Us

Medicare Disclaimers

Protecting Your Privacy

Your Health Information Rights

How Your Health Information Is Used

Important Links

Helpful Links

Notices

Contact Us

Medicare Disclaimers

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