Effective Date: Jul 1, 2024

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.


OUR COMMITMENT TO YOUR PRIVACY

At ShareWELL Health Share, protecting the privacy of your Protected Health Information (PHI) is a responsibility we take seriously. This notice outlines how we may use and disclose your health information, your privacy rights, and our responsibilities to safeguard your information as required under the Health Insurance Portability and Accountability Act (HIPAA).


WHAT IS PROTECTED HEALTH INFORMATION (PHI)?

PHI is information related to your physical or mental health condition, healthcare services provided to you, or payment for such services that can individually identify you. Examples include your name, address, medical records, health history, and treatment information.


HOW WE USE AND DISCLOSE YOUR PHI

We may use or disclose your PHI without your explicit authorization in the following circumstances:

OTHER PERMITTED OR REQUIRED DISCLOSURES

YOUR RIGHTS REGARDING YOUR PHI

You have the following rights under HIPAA regarding your PHI:


CHANGES TO THIS NOTICE

ShareWELL Health Share reserves the right to modify this NPP at any time. We will promptly update and distribute a revised NPP to our members through our website or by mail upon request.


CONTACT INFORMATION

If you have questions about this Notice or if you wish to exercise any of your privacy rights, please contact:

Privacy Support

Email: support@sharewellhealth.org


FILING A COMPLAINT

If you believe your privacy rights have been violated, you may file a complaint directly with ShareWELL Health Share at the address above or with the Office for Civil Rights (OCR). Filing a complaint will not affect your rights or status with ShareWELL Health Share.

Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775 (toll-free)
www.hhs.gov/ocr/privacy/hipaa/complaints