Notice of Privacy Practices (Aviso de practices de privacidad*)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.
You may ask for an additional paper copy of this privacy notice at any time.
Para recibir esta noticia en español, llame al 800-346-4643. >TTY 800-704-6370.*
In this notice, the words "us", "our" and "we" mean Rocky Mountain Health Plans or RMHP. This includes plans underwritten by Rocky Mountain HMO, Inc. and Rocky Mountain HealthCare Options, Inc.
- To state and federal agencies that regulate us, such as the U.S. Department of Health and Human Services and the Colorado Division of Insurance
- For public health activities. This may include reporting disease outbreaks.
- To public health agencies if we think there is a serious health or safety threat
- For government health oversight activities, such as fraud investigations
- To a court or administrative agency, such as to obey a court order
- For law enforcement purposes, such as to find a suspect
- To a government authority when there is abuse, neglect, or violence in the home
- To a coroner, medical examiner, or funeral director to aid in deciding cause of death
- For getting, saving, or transplanting organs, eyes, or tissue, and also in limited ways for research activities
- For special government functions, such as for national safety
- For job-related injuries because of state worker compensation laws
- To help make sure your medical bills sent to us for payment are handled the right way
- To help your doctors or other health care providers manage your health care, such as if you're in a wellness program or if you are a home health patient
- To send you a reminder if you have a doctor's visit
- To give you information about other health care treatments, services, and programs you may be interested in, such as a weight-loss program
- To tell an employer that helps pay for your health benefits of your enrollment with RMHP. Any PHI we might give to your employer group plan sponsor cannot be used for employment or benefit decisions.
- With other people who are with you at the time we discuss your PHI. For example, when you allow others to be in the room when a home health nurse visits your home or if your spouse is with you on the phone when you call us. In these cases we may talk about your PHI with both of you.
- If you are injured or unconscious we may share PHI with your family or friends to help make sure you get the care you need and talk about how the care will be paid for
You have the right to ask that we talk with or write to you in a different way or at a different place to protect you from danger. For example, you may ask us to send your PHI to your work address instead of your home address.
You have the right to see and ask for a copy of your PHI. You can ask to have your PHI given to you in a particular way or form, such as paper or electronic format. We will try to meet your request if it is not too difficult to provide it in that format. You may also ask that we describe and tell you in writing about the PHI we have about you. We will respond to you within 30 days after we get your written request. If we deny your request, we will write back to you with the reasons. We will also explain your right to have our denial reviewed. We may charge you a reasonable fee based on the copy costs for labor and supplies to meet your request or for writing a description of PHI if that is what you asked for.
You have the right to get a list of times in which we have given out your PHI during the six years before your request. Please note that we are not required to give you a list of every time we gave out your PHI.
We do not have to tell you the times we gave out your PHI:
- Before April 14, 2003
- For treatment, payment, and health care operation purposes
- To you or others, if we have your written permission
- To persons involved in your care or payment for care
- For national safety reasons, or in special situations required by law enforcement or health oversight agencies
You have the right to ask us to change your PHI or add missing information if you think there is a mistake in your PHI. We will respond within 60 days of getting your written request. If we deny your request, we will tell you the reasons in writing. Our written denial will also explain your right to file a written statement of disagreement. You can ask us to attach your request, our denial, and your statement of disagreement to your PHI anytime we give it out in the future.
PHI includes information that we have about your past, present, or future health or medical condition that could be used to identify you. It includes such things as health care treatment, or payment for health care you have received.
- Visit our website: www.rmhp.org
- Write to us: Rocky Mountain Health Plans, PO Box 10600, Grand Junction, CO 81502-5600
- Call Rocky Mountain Customer Service: 970-243-7050 or 800-346-4643
Rocky Mountain Health Plans respects the privacy of your personal health information, also called PHI. By law, we have to make sure that your PHI is kept private. We must also give you this notice of our legal duties, your rights, and our privacy practices about your PHI. We must tell you about how and when we may use, share, or discuss your PHI with others.