Policies and Procedures Manual Section 20
Summary notice of privacy practices under HIPAA
We are required by federal law to provide a notice of privacy practices that describes how health information that is maintained about you by the Western Michigan University Group Health Plan ("Plan") may be used or disclosed. The Notice is lengthy, as it describes the uses and disclosures that the Plan may make and your rights and the Plan's obligations under law. This is a summary of the full Notice, which you may access by selecting the following link:
We are permitted to use and disclose your health information under a variety of circumstances. Sometimes we must obtain your authorization before we use or disclose that information, but in other circumstances we may use your information without your authorization and without informing you of the use or disclosure. Some of the reasons that we may use or disclose your information include:
- Determination of eligibility, coverage and cost sharing amounts.
- Claims management.
- Rating provider and plan performance.
These are only examples. For a full description of the uses and disclosures that we are permitted to make, consult the Notice of Privacy Practices under HIPAA.
While the records that the Plan maintains about you belong to the Plan, under the federal privacy law you have a variety of rights with respect to the information maintained in those records. For instance, you have the right to access and arrange for us to copy the health information that the Plan maintains about you and to request that we amend any of the information that you believe is incomplete or incorrect. Also, you may request that we provide you with a list of certain disclosures that the Plan has made of your health information. All of these rights are subject to some exceptions that are described fully in the Notice of Privacy Practices under HIPAA.
We are required to provide you with our Notice of Privacy Practices under HIPAA and to abide by its terms. Originally effective April 14, 2003, the Notice is updated as required. We may amend the Notice from time to time.
If you have any questions or require additional information, please contact Robert Kakuk, Human Resources HIPAA privacy officer.