For certain health information, members can tell Highmark their choices about what it shares. Highmark may share information with family or close friends involved in care or payment unless told not to, or based on professional judgment if the member cannot provide permission; in disaster relief situations; and may use or share name, address, phone number, and service dates to contact the member for fundraising, consistent with applicable laws.
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For certain health information, you can tell us your choices about what we share.
Under certain circumstances, we may share your PHI with your family or close friends that you have identified as being involved in your health care or payment for your health care, unless you tell us not to do so.
We may share your information in a disaster relief situation.
We may use or share your name, address, phone number, and the dates you received services to contact you to support our fundraising efforts, consistent with applicable laws.
Account & Service Control · User right or choice
Individual rights: overview
When it comes to health information, members have certain rights. Any request must be in writing and signed by the member or authorized representative. Information about submitting a request is available via the Customer Service phone number on the back of the Member ID card or in writing to the contact listed at the end of the Notice.
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When it comes to your health information, you have certain rights. The following is a description of those rights. Any request must be in writing and signed by you or your authorized representative.
Account & Service Control · User right or choice
Right to get a copy of health and claims records
Members can ask to review or receive copies of health and claims records Highmark has in a designated record set. Highmark will provide a copy or summary and may charge a reasonable cost-based fee.
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Get a copy of your health and claims records: You can ask to review or receive copies of your health and claims records that we have about you in a designated record set.
Account & Service Control · User right or choice
Right to an accounting of disclosures
Members can ask for a list of times PHI was shared for reasons other than treatment, payment, health care operations, or authorized disclosures. The requested date range is limited to six years before the date of the request.
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Get a list of those with whom we have shared information: You can ask for a list (an “accounting”) of the times we have shared your PHI that are for reasons other than treatment, payment, health care operations, or those which you authorized.
Account & Service Control · User right or choice
Right to ask to limit use or sharing
Members can ask Highmark not to use or share certain health information for treatment, payment, or operations. Highmark is not required to agree and may decline if inconsistent with law, policy, or business operations.
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Ask us to limit what we use or share: You can ask us not to use or share certain health information about you for treatment, payment, or our operations.
Account & Service Control · User right or choice
Right to request confidential communications
Members can ask Highmark to contact them in a specific way or at a different address if sharing PHI could place them in danger, for example only at a work address or work email.
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Request confidential communications: You can ask us to contact you in a specific way, or at a different address, if you believe that sharing your PHI could place you in danger.
Account & Service Control · User right or choice
Right to ask to correct or amend records
Members can ask Highmark to correct or amend health and claims records they believe are incorrect or incomplete. The request must explain why correction is needed. Highmark may decline but will explain why in writing.
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Ask us to correct or amend health and claims records: You can ask us to correct, or amend, your health and claims records if you believe they are incorrect or incomplete.
Account & Service Control · User right or choice
Right to choose someone to act for you
If someone has medical power of attorney or is a legal guardian or other authorized representative, that person can exercise the member's rights and make choices about health information. Highmark will verify the person's authority before acting.
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Choose someone to act for you: If you have given someone medical power of attorney or if someone is your legal guardian or other authorized representative, that person can exercise your rights and make choices about your health information.
Account & Service Control · User right or choice
Right to get a paper copy of the Notice
Members can ask for a paper copy of the Notice even if they agreed to receive it electronically.
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Get a paper copy of this Notice: You can ask for a paper copy of this Notice, even if you have agreed to receive the Notice electronically.
Account & Service Control · User right or choice
SUD records and fundraising opt-out
Highmark will only use or share records to fundraise for the benefit of a SUD treatment program if the member is first provided an option to elect not to receive fundraising communications. A member can request to no longer receive fundraising communications following participation in a SUD program, even if initially permitted.
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We will only use or share records to fundraise for the benefit of a SUD treatment program if you are first provided with an option to elect not to receive fundraising communications.
You can request to no longer receive fundraising communications following your participation in a SUD program, even if you initially permitted us to send such communications.