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Your Health Information Privacy Rights

Most people believe their health information is private and should be protected. That is why there is a federal law that sets rules for health care providers and health insurance companies about who can look at and receive our health information. This law—the Health Insurance Portability and Accountability Act of 1996 (HIPAA)—gives you rights over your health information, including the right to get a copy of your information, make sure it is correct, and know who has seen it.

Your Right to See or Get a Copy of Your Medical Records or Health Information

You can ask to see or get a copy of your medical records and other health information. If you want a copy, you may have to put your request in writing and pay for the cost of copying and mailing. In most cases, your copies must be given to you within 30 days.

Your Right to Request Changes to Incorrect or Incomplete Information

You can ask to change any incorrect information in your file or add information to your file if you believe something is missing or incomplete. For example, if you and your hospital agree that your file has an incorrect result for a test, the hospital must change it. Even if the hospital believes the test result is correct, you still have the right to have your disagreement noted in your file. In most cases, the file should be updated within 60 days.

Your Right to Know Who Has Seen Your Medical Records or Health Information

By law, your health information can be used and shared for specific reasons not directly related to your care, like making sure doctors give good care, making sure nursing homes are clean and safe, reporting when the flu is in your area, or reporting as required by state or federal law. In many of these cases you can find out who has seen your health information.

For example, you can:

• Learn how your health information is used and shared by your doctor or health insurer. Generally, your health information cannot be used for purposes not directly related to your care without your permission. For example, your doctor cannot give it to your employer, or share it for things like marketing and advertising, without your written authorization. You probably received a notice telling you how your health information may be used on your first visit to a new health care provider or when you got new health insurance, but you can ask for another copy anytime.

• Let your providers or health insurance companies know if there is information you do not want to share. You can ask that your health information not be shared with certain people, groups, or companies. If you go to a clinic, for example, you can ask the doctor not to share your medical records with other doctors or nurses at the clinic. You can ask for other kinds of restrictions, but they do not always have to agree to do what you ask, particularly if it could affect your care. Finally, you can also ask your health care provider or pharmacy not to tell your health insurance company about care you receive or drugs you take, if you pay for the care or drugs in full and the provider or pharmacy does not need to get paid by your insurance company.

• Ask to be reached somewhere other than home. You can make reasonable requests to be contacted at different places or in a different way. For example, you can ask to have a nurse call you at your office instead of your home or to send mail to you in an envelope instead of on a postcard. If you think your rights are being denied or your health information is not being protected, you have the right to file a complaint with your provider, health insurer, or the U.S. Department of Health and Human Services.

In Texas, as in all states, your health information privacy rights are primarily protected under the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA grants you the right to access and obtain a copy of your medical records and health information, typically within 30 days of your request, and you may be required to pay for the cost of copying and mailing. You also have the right to request amendments to your health records if you find incorrect or incomplete information. Providers generally have up to 60 days to make the requested changes. Additionally, you have the right to know who has accessed your health information, with certain exceptions for public health and safety reasons. HIPAA restricts the use and sharing of your health information for non-care related purposes without your explicit consent. You can request restrictions on the sharing of your information, although providers are not always obligated to comply if it could affect your care. You can also request communications at alternative locations or through different means for additional privacy. If you believe your rights under HIPAA have been violated, you have the right to file a complaint with your healthcare provider, insurer, or the U.S. Department of Health and Human Services.


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