2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 8: Your rights and responsibilities 181 you need that care. You also have the right to get your prescriptions filled or refilled at any of our network pharmacies without long delays. How to Receive Care After Hours If you need to talk to or see your Primary Care Provider after the office has closed for the day, call your Primary Care Provider’s office. When the on-call physician returns your call he or she will advise you on how to proceed. Because you are a member of the UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) plan, you can see any provider (network or out-of- network) at the same cost share, as long as they accept the plan and have not opted out of or been excluded or precluded from the Medicare Program. If you think that you are not getting your medical care or Part D drugs within a reasonable amount of time, Chapter 9 tells what you can do. Section 1.3 We must protect the privacy of your personal health information Federal and state laws protect the privacy of your medical records and personal health information. We protect your personal health information as required by these laws. · Your “personal health information” includes the personal information you gave us when you enrolled in this plan as well as your medical records and other medical and health information. · You have rights related to your information and controlling how your health information is used. We give you a written notice, called a “Notice of Privacy Practice,” that tells about these rights and explains how we protect the privacy of your health information. How do we protect the privacy of your health information? · We make sure that unauthorized people don’t see or change your records. · Except for the circumstances noted below, if we intend to give your health information to anyone who isn’t providing your care or paying for your care, we are required to get written permission from you or someone you have given legal power to make decisions for you first. · There are certain exceptions that do not require us to get your written permission first. These exceptions are allowed or required by law. - We are required to release health information to government agencies that are checking on quality of care. - Because you are a member of our plan through Medicare, we are required to give Medicare your health information including information about your Part D prescription drugs. If Medicare releases your information for research or other uses, this will be done according to Federal statutes and regulations; typically, this requires that information that uniquely identifies you not be shared You can see the information in your records and know how it has been shared with others You have the right to look at your medical records held at the plan, and to get a copy of your records. We are allowed to charge you a fee for making copies. You also have the right to ask us to make additions or corrections to your medical records. If you ask us to do this, we will work with your health care provider to decide whether the changes should be made.
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