Effective April 14, 2003
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.
First Sun EAP believes in confidentiality and privacy to the fullest extent allowed by applicable law. Protecting health information is very important to us and we therefore want you to have a solid understanding of how we use and safeguard your information. If this Notice leaves you with any questions or concerns, please call us at 1-800-968-8143. We are available 24 hours a day.
Protected Health Information (PHI) is individually identifiable information (including demographic information) relating to your health, to the health care provided to you or to payment for health care. This Notice of Privacy Practice describes how First Sun EAP may use and disclose your PHI in order to carry out treatment, payment and health care operations, and for other purposes permitted or required by law. It also describes your rights to access and control your PHI.
OUR DUTIES
First Sun EAP is required by law to maintain the privacy of your PHI and to abide by the terms of this Notice. We may modify our policies at any time and any material change will be paired with a modification of the terms in this Notice. The new policy and Notice will be effective for all PHI we create, receive or maintain, including any received or created prior to the date of such change. Upon request, we will provide you with any revised Notice or you can review the Notice by accessing our website at www.firstsuneap.com.
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION
First Sun EAP uses PHI about you for treatment, payment, and operational purposes. We do not require authorization to use your PHI for these purposes. We may also use or disclose your PHI without your authorization for several other reasons. Subject to certain requirements, we may disclose health information without your authorization for public health reasons, for auditing purposes, and for emergency situations.
Treatment
First Sun EAP may use and disclose your PHI (public health information) to assist your health care providers in your diagnosis and treatment. For example, we may disclose your PHI to providers to facilitate appropriate referrals.
Payment
First Sun EAP may use and disclose your PHI in order to pay for the services and items you may receive. For example, we may contact your health provider to certify that you received treatment (and for what range of benefits), and we may request details regarding your treatment to determine if your benefits will cover, or pay for, your treatment.
Health Care Operations
First Sun EAP may use and disclose your PHI to perform health care operations. For example, we may use your PHI to provide pre-certification to health providers or to obtain pre-certification from a third party on your behalf. In addition to the above-mentioned uses of your PHI related to treatment, payment, and health care operations, First Sun EAP may also use your PHI for the following purposes:
Appointment Reminders
First Sun EAP has the right to use and disclose your PHI to contact you and remind you of appointments. Health Related Benefits and Services: First Sun EAP may use and disclose PHI to inform you of health related benefits or services that may be of interest to you.
Release of Information to Family and Friends
First Sun EAP may release your PHI to a friend or family member identified by you that is helping you pay for your health care, who participates in health services with you, or who assists in taking care of you.
Disclosures Required by Law
First Sun EAP will use and disclose your PHI when we are required to do so by federal, state, or local law. In addition to the above described uses and disclosures of your PHI, First Sun EAP may also use and disclose your PHI under the following unique circumstances:
Public Health Risks
First Sun EAP may disclose your PHI to public health authorities that are authorized by law to collect information for the purpose of: Reporting child or elder abuse or neglect, Notifying appropriate government agencies and authorities regarding the potential abuse or neglect of an adult patient (including domestic violence); however, we will only disclose this information if the client agrees or we are required or authorized by law to disclose this information, Preventing or controlling disease, injury, or disability, Notifying a person regarding potential exposure to a communicable disease, Notifying a person regarding the potential risk for spreading or contracting a disease or condition; and Notifying your employer under limited circumstances related to safety or security of the workplace.
Serious Threats to Health or Safety
First Sun EAP may use and disclose your PHI when necessary to reduce or prevent a serious threat to your health and safety or the heath and safety of another individual or the public. Under these circumstances, we will only make disclosures to a person or organization as mandated by law or that we reasonably perceive to be able to help prevent the threat.
Law Enforcement
First Sun EAP may disclose PHI if asked to do so by a law enforcement official: regarding a crime victim in certain situations, if we are unable to obtain the client’s agreement, concerning a death we believe might have resulted from criminal conduct, regarding criminal conduct at our offices, in response to a warrant, summons, court order, subpoena, or similar legal process, to identify and/or locate a suspect, material witness, fugitive, or missing person; and in an emergency to report a crime (including the location or victim(s) of the crime, or the description, identity, or location of the perpetrator).
Health Oversight Activities
First Sun EAP may disclose your PHI to a health oversight agency for activities authorized by law. Oversight activities can include, for example, investigations, inspections, audits, surveys, licensure, and disciplinary actions; civil, administrative, and criminal procedures or actions; or other activities necessary for the government to monitor government programs, compliance with civil rights laws, and the heath care system in general.
Lawsuit and Similar Proceedings
First Sun EAP may use and disclose your PHI in response to a court or administrative order. We may also disclose your PHI in response to a discovery request, subpoena, or other lawful process but only if we have made an effort to inform you of the request or to obtain an order protecting the information the party has requested.
Military and Veterans’ Activities
First Sun EAP may use and disclose your PHI if you are a member of the United States or foreign military forces (including veterans) and if required by the appropriate military command authorities.
National Security
First Sun EAP may use and disclose your PHI to federal officials for intelligence and national security activities authorized by law. We also may disclose your PHI to federal officials in order to protect the President, other officials, or foreign heads of state, or to conduct investigations.
Correctional Institutions and Inmates
First Sun EAP may disclose your PHI to correctional institutions or law enforcement officials if you are an inmate or under the custody of a law enforcement official. Disclosure for these purposes would be necessary: (a) for the institution to provide health care services to you, (b) for the safety and security of the institution and/or, (c) to protect your health and safety or the health and safety of other individuals.
Workers’ Compensation
First Sun EAP may release your PHI for workers’ compensation and similar programs such as Dept. of Transportation, Dept. of Defense, or Nuclear Regulatory Commission. |