How do we protect the privacy of your health information?
Your health information is in a medical record that is the property of MMM and PMC
MMM and PMC uses health information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive. Your health information is contained in a medical record that is the physical property of MMM and PMC
How MMM and PMC May Use or Disclose Your Health Information?
Your health information can be used or disclosed for one or more of the following purposes without requiring your authorization:
To provide you with medical treatment or other services, ensuring that all healthcare providers serving your treatment have access to specific and first-hand information that is found in your record, so that your care is properly coordinated.
To obtain payment, treatment and services that you receive. For example, a bill may be sent to you or a third-party payor, such as an insurance company or health plan. The information on the bill may contain information that identifies you, your diagnosis, treatment, drugs, among other data.
For Health Care Operations: For example, your health information may be disclosed to members of the medical staff, risk or quality improvement personnel, and others to:
To provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to the individual.
Required by law:MMM and PMC may use and disclose information about you as required by law. For example:
Public Health: We may use or disclose your health information for public health activities such as assisting public health authorities or other legal authorities to prevent or control disease, injury, or disability, or for other health oversight activities.
MMM and PMC may also use or disclose your health information for purposes of:
Specialized Government Functions such as protection of public officials or reporting to various branches of the armed services.
To comply with laws and regulations related to Workers' Compensation.
Health and Safety: to avert a serious threat to the health or safety of you or any other person pursuant to applicable law.
Decedents: MMM and PMC may use or disclose health information to funeral directors or coroners to enable them to carry out their lawful duties.
School Immunization Proof: MMM and PMC may disclose proof of immunization to a school if the school is required by law to have such proof of immunization prior to admission and MMM and PMC documents the agreement to the disclosure from you or parent, guardian or person acting as a custodial of a minor.
Psychotherapy Notes: we can only share information regarding psychotherapy notes with your written authorization except if the use is for treatment, payment or healthcare operations; by the originator notes for your treatment; when disclosed as part of a training program in which students, trainees or practitioners learn under supervision to improve their counseling skills and; as part of a defense against a legal action. It can also be disclosed when required by law.
Genetic Information: MMM and PMC cannot use or disclose genetic information for underwriting purposes. However MMM and PMC could use genetic information, for example, to determine medical appropriateness if you seek a benefit under the plan or coverage.
Marketing: we may contact you without your authorization to 1) give you information about products or services relating to your treatment or our healthcare operations; 2) provide you with nominal gifts; 3) face to face communication; 4) to inform you about government programs that may be of your interest and 5) send you refill reminders or other communications about a drug or
biologic that is currently prescribed to you. If we receive financial remuneration for doing a marketing communication to you, we need your prior authorization.
Sale of Protected Health Information: MMM and PMC cannot sell your protected health information
unless we receive a written authorization from you. Research purposes are an example of sale of
protected health information.
Other uses and disclosureswill be made only with your written authorization and you may revoke the authorization except to the extent MMM and PMC has taken action in reliance on such uses and disclosures.
You have the right to:
If we implement a change in a privacy practice described in this notice prior to issuing a revised notice, we reserve the right to change the terms of this notice and make the new notice provisions effective for all the protected health information that we maintain. MMM and PMC will post any changes of the notice on the website of the company and will provide the notice to you in the next annual mailing.
You have the right to file a complaint with MMM and PMC and with the Department of Health and Human Services' Office for Civil Rights by calling 1-800-368-1019 (TTY 1-800-537-7697) or your local Office for Civil Rights. We will not penalize nor retaliate against you for filing a complaint with us or before the Department of Health and Human Services.
If you believe that your privacy rights have been violated, calling Member Services is the first step. If you do not wish to call (or you called and were not satisfied), you can put your complaint in writing and send it to us at:
PO BOX 71114
San Juan PR 00936-8014
If you have questions or concerns about the privacy of your protected health information or wish to file a complaint please call us at:
MMM: 787-620-2397 (Metro Area), 1-866-333-5470 (toll free), 1-866-333-5469
TTY, Monday through Sunday, from 8:00 a.m. to 8:00 p.m.
PMC: 787-625-2126 (Metro Area), 1-866-516-7700 (toll free), 1-866-516-7701
TTY, Monday through Sunday, from 8:00 a.m. to 8:00 p.m.