Privacy of Your Health Information
The privacy and security of your health information is very important to The Health Plan. For that reason, we have procedures in place to ensure that your information is well protected. The following notice, describe in detail the processes in place to ensure the privacy of your health information.
Our Customer Services Department is available to assist you with any questions or concerns. You can call Member Services at 1.877.847.7907 (TTY: 1.800.622.3925) in the Ohio Valley or Mountaineer Region or 1.800.426.9013 (TTY: 1.877.236.2291) in the HomeTown Region.
We have also developed a number of forms for you to utilize for reporting and/or requesting information pertaining to the Privacy of Your Health Information. The following forms are available for your use:
Documents
Authorization to Disclose Protected Health Information
| Date added: | 08/21/2008 |
| Filesize: | 1.38 MB |
| Downloads: | 99 |
Individual Request for Access to Protected Health Information
| Date added: | 08/21/2008 |
| Filesize: | 1.25 MB |
| Downloads: | 109 |
Notice of Privacy Practices
| Date added: | 02/18/2010 |
| Filesize: | 48.17 kB |
| Downloads: | 104 |
Privacy Complaint
| Date added: | 08/21/2008 |
| Filesize: | 979.38 kB |
| Downloads: | 104 |
Request for an Accounting of Diclosures
| Date added: | 08/21/2008 |
| Filesize: | 20.05 kB |
| Downloads: | 105 |
Request to Amend Protected Health Information
| Date added: | 08/21/2008 |
| Filesize: | 1.26 MB |
| Downloads: | 101 |
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Resources for Members
I want to . . .
- Request a new ID card, change my information
- Sign up for important screening test reminders (brought to you by the College of American Pathologists)
- Get a FREE Online Personal Health Record
Improve your quality of care with your Personal Health Record. Please take a moment to visit this important site.
- Find the Average Cost of Medical Procedures
This is information from a third party and may NOT reflect actual costs and/or charges at The Health Plan facilities but rather is averaged based on this companies analysis of the cost of medical procedures annually.
- Find What Services Require PreAuthorization
- Visit Vision Services Plan (VSP)
Questions concerning your Vision Services can be found here.