The notice offers a Spanish version through a number in the document
A line in Spanish says that to receive this notice in Spanish, you should call the number provided in this document.
Supporting quotations
Para recibir esta notificación en español por favor llamar al número provisto en este documento.
Not stated here
The notice does not say which number in the document this refers to; elsewhere it refers to the toll-free Customer Services number on your ID card.
Account & Service Control · User right or choice
You can stop or limit disclosures to others involved in your care by calling Customer Services
Aetna says you have the right to stop or limit disclosures to relatives, friends and others involved in your care by calling the toll-free Customer Services number on your ID card.
Supporting quotations
You have the right to stop or limit this kind of disclosure by calling the toll-free Customer Services number on your ID card.
Cross-references
contrast (model-proposed): You can ask Aetna to restrict uses and disclosures, but it may not agree — contrast: One passage says you have the right to stop or limit disclosures to relatives, friends and others involved in your care, while the rights section says Aetna will consider but may not agree to requests to restrict disclosures to persons involved in your care. The notice does not reconcile the two.
Account & Service Control · User right or choice
Minors may have the right to block parental access, if state law permits
If you are a minor, you may have the right to block parental access to your health information in certain circumstances, if state law permits. You can contact Aetna using the toll-free Customer Services number on your ID card, or have your provider contact Aetna.
Supporting quotations
If you are a minor, you also may have the right to block parental access to your health information in certain circumstances, if permitted by state law.
You can contact us using the toll-free Customer Services number on your ID card – or have your provider contact us.
Qualifications & exceptions
Applies only in certain circumstances and only if permitted by state law.
Not stated here
The notice does not say which circumstances or which state laws apply.
Account & Service Control · User right or choice
You can revoke an authorization in writing at any time, unless Aetna has already acted on it
If you have given Aetna an authorization, you may revoke it in writing at any time, if Aetna has not already acted on it. For questions about authorizations you can call the toll-free Customer Services number on your ID card.
Supporting quotations
If you have given us an authorization, you may revoke it in writing at any time, if we have not already acted on it.
If you have questions regarding authorizations, please call the toll-free Customer Services number on your ID card.
Qualifications & exceptions
Revocation does not undo something Aetna has already acted on.
Account & Service Control · User right or choice
You can ask Aetna to communicate with you in a certain way or at a certain location
You have the right to ask Aetna to communicate with you in a certain way or at a certain location. For example, if you are covered as an adult dependent, you might ask Aetna to send Explanation of Benefits forms and other claim information to a different address from your subscriber's. Aetna says it will accommodate reasonable requests.
Supporting quotations
You have the right to ask us to communicate with you in a certain way or at a certain location. For example, if you are covered as an adult dependent, you might want us to send health information (e.g. Explanation of benefits (EOB) and other claim information) to a different address from that of your subscriber. We will accommodate reasonable requests.
Qualifications & exceptions
Aetna says it accommodates reasonable requests.
Not stated here
The notice does not say what makes a request unreasonable or how to submit it beyond the Customer Services number in a later passage.
Cross-references
qualifies (model-proposed): Explanation of Benefits forms and claim information are mailed to the subscriber — qualifies: Aetna mails Explanation of Benefits forms to the subscriber's address on record; the rights section lets you ask Aetna to communicate at a different address or in a certain way, and Aetna says it will accommodate reasonable requests.
Account & Service Control · User right or choice
You can ask Aetna to restrict uses and disclosures, but it may not agree
You have the right to ask Aetna to restrict how it uses or discloses health information for health care operations, payment and treatment, and to restrict disclosures to persons involved in your health care. Aetna says it will consider but may not agree to such requests. The notice separately says you have the right to stop or limit disclosures to relatives, friends and others involved in your care by calling the toll-free Customer Services number.
Supporting quotations
You have the right to ask us to restrict the way we use or disclose health information about you in connection with health care operations, payment, and treatment. We will consider, but may not agree to, such requests. You also have the right to ask us to restrict disclosures to persons involved in your health care.
You have the right to stop or limit this kind of disclosure by calling the toll-free Customer Services number on your ID card.
Qualifications & exceptions
Aetna "will consider, but may not agree to" restriction requests for operations, payment and treatment.
The Disclosure to Others Involved in Your Health Care section describes a right to "stop or limit" that kind of disclosure, which reads more firmly than a request Aetna may decline.
Not stated here
The notice does not reconcile "right to stop or limit" family and friend disclosures with "may not agree" for restriction requests to persons involved in your care, so it is unclear whether Aetna can decline the latter.
Account & Service Control · User right or choice
You can ask for a copy of records in your designated record set
You have the right to ask Aetna for a copy of health information in your designated record set, meaning medical records and other records maintained and used in making enrollment, payment, claims adjudication, medical management and other decisions. Aetna may ask for the request in writing, may charge a reasonable fee for producing and mailing copies, and in certain cases may deny the request.
Supporting quotations
You have the right to ask us to obtain a copy of health information that is contained in a “designated record set” – medical records and other records maintained and used in making enrollment, payment, claims adjudication, medical management, and other decisions. We may ask you to make your request in writing, may charge a reasonable fee for producing and mailing the copies, and, in certain cases, may deny the request.
Qualifications & exceptions
Aetna may ask for a written request, may charge a reasonable fee for producing and mailing copies, and may deny the request in certain cases.
Not stated here
The notice does not say in which cases a request may be denied or how large the fee may be.
Account & Service Control · User right or choice
You can ask Aetna to amend your records, in writing with a reason
You have the right to ask Aetna to amend health information in your designated record set. The request must be in writing and include the reason. If Aetna denies the request, you may file a written statement of disagreement.
Supporting quotations
You have the right to ask us to amend health information that is in a “designated record set.” Your request must be in writing and must include the reason for the request. If we deny the request, you may file a written statement of disagreement.
Qualifications & exceptions
The request must be in writing and include the reason for it.
Not stated here
The notice does not say what happens to a statement of disagreement once filed.
Account & Service Control · User right or choice
You can ask for a list of certain disclosures; a fee may apply to repeat requests
You have the right to ask Aetna for a list of certain disclosures it has made about you, such as disclosures to government agencies that license it. The request must be in writing. If you ask for such an accounting more than once in a 12-month period, Aetna may charge a reasonable fee.
Supporting quotations
You have the right to ask us to provide a list of certain disclosures we have made about you, such as disclosures of health information to government agencies that license us. Your request must be in writing. If you request such an accounting more than once in a 12-month period, we may charge a reasonable fee.
Qualifications & exceptions
Request must be in writing; a reasonable fee may apply to more than one request in 12 months.
Not stated here
The notice does not say which disclosures are included or excluded from the list.
Account & Service Control · Procedure
You can make these requests or ask for a paper copy of the notice by calling Customer Services
You may make the requests described above, ask for a paper copy of the notice, or ask questions about the notice by calling the toll-free Customer Services number on your ID card.
Supporting quotations
You may make any of the requests described above, may request a paper copy of this notice, or ask questions regarding this notice by calling the toll-free Customer Services number on your ID card.
Not stated here
Several rights say requests must be in writing; the notice does not reconcile that with making the request by phone.
Account & Service Control · Procedure
You can file a privacy complaint with Aetna or the federal health secretary and will not be penalized
If you think your privacy rights have been violated, you can email the Aetna Privacy Office or write to the HIPAA Member Rights Team at the address given. You may also write to the Secretary of the U.S. Department of Health and Human Services, and the notice says you will not be penalized for filing a complaint.
Supporting quotations
You also have the right to file a complaint if you think your privacy rights have been violated. To do so, please send an email to Aetna Privacy Office at PrivacyAetna@aetna.com or send your inquiry to the following address:
HIPAA Member Rights Team P.O. Box 14079
Lexington, KY 40512-4079 Fax: (859) 280-1272
You also may write to the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Account & Service Control · User right or choice
You can stop paper mailing of Explanation of Benefits forms by registering on aetna.com
You may stop the paper mailing of Explanation of Benefits forms and other claim information by visiting aetna.com, selecting "Log In/Register," and completing the one-time registration. You can then log in at any time to view past copies of those forms.
Supporting quotations
You may stop the paper mailing of your EOB and other claim information by visiting www.aetna.com and click “Log In/Register”. Follow the prompts to complete the one-time registration. Then you can log in any time to view past copies of EOBs and other claim information.