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.
This section explains your rights and some of our responsibilities to help you.
You can ask to see or get a copy of your health and claims records and other health information we have about you. We will provide a copy or a summary of your health and claims records, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
You can ask us to contact you in a speciﬁc way (for example, home or ofﬁce phone) or to send mail to a different address. We will consider all reasonable requests and must say “yes” if you tell us you would be in danger if we do not.
You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
You can complain if you feel we have violated your rights by contacting us using the contact information at the bottom of this page. You can ﬁle a complaint with the U.S. Department of Health and Human Services Ofﬁce for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1(877)696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for ﬁling a complaint.
If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
Share information with your family, close friends, or others involved in payment for your care.
Share information in a disaster relief situation.
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
Marketing purposes or sale of your information.
We typically use or share your health information in the following ways.
We can use your health information and share it with professionals who are treating you. Example: A doctor sends us information about your diagnosis and treatment plan, so we can arrange additional services.
We can use and disclose your information to run our organization and contact you when necessary. We are not allowed to use genetic information to decide whether we will give you coverage and the price of that coverage. This does not apply to long term care plans. Example: We use health information about you to develop better services for you.
We can use and disclose your health information as we pay for your health services. Example: We share information about you with your dental plan to coordinate payment for your dental work.
We may disclose your health information to your health plan sponsor for plan administration. Example: Your company contracts with us to provide a health plan, and we provide your company with certain statistics to explain the premiums we charge.
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index
We can share health information about you for certain situations such as:
We can use or share your information for health research.
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
We can share health information about you with organ procurement organizations. We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
We can use or share health information about you: for workers compensation claims, for law enforcement purposes or with a law enforcement ofﬁcial, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security, and presidential protective services.
We can share health information about you in response to a court or administrative order, or in response to a subpoena. We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our web site, and we will mail a copy to you.
Clear Spring Health Care PO Box 278530
Miramar, FL 33027
If you have any questions, please call us at 1(877) 384-1241 TTY users should call 711.
8:00 am to 8:00 pm Monday – Friday from April 1 – September 30
8:00 am to 8:00 pm Monday – Sunday from October 1 – March 31.
Our MAPD Provider Directory includes thousands of primary care physicians (PCPs) and specialists across our service area of select counties in Colorado, Georgia, Illinois, South Carolina, and Virginia.
Due to the directory size we recommend using the Provider Search above to more accurately locate the providers in your area. However, if you still prefer a printed copy, please contact Member Services at 1 (877) 364-4566.