When you accept the Consent to Participate, you agree that you have read and understood the Notice of Privacy Practices for Protected Health Information. USPM will have protected health information when you answer questions or provide biometric data.
This Privacy Notice covers information for The Preventive Plan program, USPM.com and U.S. Preventive Medicine, Inc. In the course of providing services to you through The Preventive Plan program, USPM is committed to the privacy of your personally identifiable health information and will use strict privacy standards to protect it from unauthorized use or disclosure. This Notice informs you of USPM's privacy practices and certain rights available to you under applicable federal and state law. What follows is the information that our lawyers want you to know so that you and USPM’s The Preventive Plan program are protected.
Overview of Policies
USPM is required by law to implement policies designed to maintain the privacy of your personally identifiable health information that is transmitted or maintained by USPM. This Notice refers to such health information as Protected Health Information, or “PHI.” USPM is required to make this Notice available to you to inform you about:
- Our policies regarding use and disclosure of your PHI; and
- Your privacy rights and other rights with respect to your PHI, including the right to file complaints with USPM or with the Secretary of the United States Department of Health and Human Services (the “Secretary”).
Who is Covered by This Notice?
This Notice applies both to USPM and to its independent contractors who may be involved in The Preventive Plan program.
USPM is required by law to secure, and will secure, written agreements with its independent contractors to ensure all parties will abide by the policies described in this Notice before they provide you with any services. U.S. Preventive Medicine, Inc., (also referred to as ‘USPM’, ‘The Preventive Plan program', 'we', 'us', or 'our'), the operator of this website, recognizes the confidentiality of information that may be disclosed by participants in registering for or participating in The Preventive Plan program and we are committed to protecting your privacy. The following discloses our information gathering and dissemination practices for this website.
The specifics of our use of personal information are best described in the answers to the following Frequently Asked Questions:
Do you ask for Personal Information from Your PARTICIPANTs?
Yes. We ask for your name, e-mail address, date of birth, and other limited personal information when you sign up as a participant.
How do you use my Personal Information?
Personally identifiable information is used only for the express purpose for which it was submitted. For example, if a user enters his or her contact information, the information will be used to correspond with them.
The primary use of your personal information and personal health information, is to efficiently provide you with services within The Preventive Plan program.
We will also use registration information to let you know about new features or other offers of interest by USPM and to address customer service needs and requests. We do not sell, rent or otherwise distribute the personal information you provide us, except as required by or allowed by law.
Will you Disclose any of my Personal Information to Third Parties?
We will not disclose your personal health information provided in connection with The Preventive Plan participation except as described in this Privacy Statement or as may be required or allowed by law or to protect our rights or property.
Information submitted by you online (such as your name or e-mail address) may be used by USPM to improve your experience with The Preventive Plan program. We will not, except as may be required by law, share with any other party your password or payment information.
Other circumstances where limited personal information may be disclosed are specifically described when the data is collected.
We do reserve the right to disclose de-identified, aggregated user statistics, such as "45 percent of our participants are female" or in order to describe our services to prospective partners, advertisers, and other third parties.
Under protection of confidentiality agreements, we use third party processors in some cases to help us provide services and manage our websites and relationships with you. These may include data-base management and information technology services, credit card processing, removing duplicate information from lists and providing other customer services. Third-party processors and providers will be given access only to that information needed to perform their support functions, and they are regulated and bound by the same confidentiality and legal requirements as we are.
With Whom Does The PREVENTIVE PLAN PROGRAM Share the Information That is Collected?
Reports, statistics, and other analysis of aggregate anonymous information may be shared within the organization or provided to third parties at the sole discretion of USPM.
This information does not include any personally identifiable information.
Exception: The Preventive Plan program and USPM reserve the right to use all information at its disposal and to share this information with Internet Service Providers (ISPs) and other third parties as necessary to investigate any incident of misuse or abuse of its site, server, or information systems.
Will THE ORGANIZAION THAT PROVIDED THIS PROGRAM TO ME SEE the Information I Enter in This System?
No. All PHI is kept private and safe. USPM is required by law to keep your information private and takes this responsibility very seriously. We are accredited by the National Committee for Quality Assurance (NCQA) and exceed all federal privacy health care laws.
What About Purchases From uspm Partners or Other Linked Websites?
If you click away from USPM’s The Preventive Plan to visit the website of any third party, you may be asked for your credit card or other personal information in order to purchase or use products and services offered. These companies have their own privacy and data collection practices. We have no responsibility or liability for these independent policies. You should therefore review their privacy policies carefully if you have concerns about how your information may be used.
Will you use my Information for Direct Mailings?
From time to time, we will send electronic mail or other mail to you, for the purpose of informing you of changes or additions to The Preventive Plan program or to the USPM.com website. If you do not want to receive such mailings, you may opt out at any time by using the unsubscribe link listed in the e-mail.
Do you use "IP Addresses" and "Cookies"?
IP Addresses: We do use your IP address to help diagnose problems with our server, and to administer our website. Your IP address is also used to gather broad demographic information such as geographic distribution of our participants and may be used to “geolocate” our participants to allow us to provide services appropriate to your place of residence.
Cookies: Contrary to popular myth, cookies do not extract private or personal information from your computer’s memory, but rather, record only information you volunteer to us upon registering or visiting the website. Cookies are tiny files placed onto the hard drive of your computer when you register at our website that enable our server to recognize or "remember" who you are each time you return. You can delete or block cookies from your computer if you want to (your browser help function should tell you how to do this), but certain services may not work correctly or at all if you delete and/or block cookies.
Use and Disclosure of PHI
Required Uses and Disclosures
USPM is required to disclose your PHI as follows:
(1) USPM must permit you to inspect and copy your PHI (with certain exceptions) upon request.
(2) USPM is required to disclose your PHI upon request to the Secretary in connection with the Secretary’s investigation of USPM’s compliance with federal privacy regulations.
Uses and Disclosures That Are Permitted Without Your Consent or Authorization
USPM is permitted to use and disclose your PHI without obtaining your consent or authorization in connection with certain health information review and payment activities, health care operations, and other limited activities described below. This section describes how USPM will use or disclose your PHI under such circumstances.
(1) Payment. Payment includes, but is not limited to, the preparation and submission of invoices and other actions required to secure payment for services provided by USPM (such as billing and collection activities). Use and disclosure of your PHI for payment-related purposes may include disclosure to any person responsible for payment with respect to USPM’s services, including any billing and/or collection companies. USPM will limit disclosure of your PHI to the minimum necessary to secure payment for its services.
(2) Health Care Operations. Health Care Operations include most of USPM’s business operations involving its services. They include (a) quality review and improvement programs; (b) reviewing qualifications and competence of health care providers; (c) legal services and auditing; (d) business planning and development; and (e) other general business and administrative functions. Subject to applicable state law, USPM may use and disclose your PHI as needed for its Health Care Operations and for certain operations of other health care providers and health plans.
Uses and Disclosures for Which USPM is not Required to Secure Your Consent or Authorization or Provide you With the Opportunity to Object
USPM may use or disclose your PHI without your consent or authorization, and without giving you the opportunity to object, as follows:
(1) When the use or disclosure is required by law.
(2) When permitted or required for purposes of public health activities, including reports to public health authorities authorized by law to collect or receive information for the purpose of preventing or controlling disease. USPM does not generally collect such information.
(3) When authorized by law and in a manner consistent with applicable law, to report information about abuse, neglect or domestic violence to public authorities.
(4) USPM may disclose your PHI to a public health oversight agency for health oversight activities authorized by law. This includes uses or disclosures in civil, administrative or criminal investigations; inspections; licensure and disciplinary actions; and other activities necessary for appropriate oversight of the health care system or government benefit programs.
(5) USPM may disclose your PHI in the course of any judicial or administrative proceeding (e.g., in response to a subpoena or discovery request), subject to certain conditions. One of these conditions is that, if the subpoena or discovery request is not accompanied by a court order, written assurances must be given to USPM that (a) the requesting party has made a good faith attempt to provide written notice to you, together with information sufficient to permit you to raise an objection, and (b) you did not object or any objections were resolved in favor of disclosure by the court or tribunal.
(6) When required for law enforcement purposes, as set forth in federal privacy regulations (for example, to report certain types of wounds). USPM may also release certain PHI (a) upon request to law enforcement officials for the purpose of identifying or locating a suspect, material witness or missing person, and (b) about an individual who is or is suspected to be a victim of a crime, if the individual agrees to the disclosure or USPM is unable to obtain the individual's agreement because of emergency circumstances and certain other conditions are met.
(7) To a coroner or medical examiner for the purpose of identifying a deceased person, determining a cause of death or performing other duties, as authorized by law.
(8) When consistent with applicable state law, if USPM believes in good faith that the use or disclosure of PHI is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public and the disclosure is to a person reasonably able to prevent or lessen the threat, including the target of the threat.
(9) In compliance with workers' compensation or other similar programs established by law.
Uses and Disclosures That Require Your Written Authorization
Except as otherwise indicated in this Notice, USPM will use and disclose your PHI only with your written authorization. Uses and disclosures requiring written authorization may include, for example, the use or disclosure of PHI for marketing purposes. If you authorize USPM to use or disclose your PHI in a manner described in this paragraph, you have the right to revoke that authorization, in writing, at any time. If you revoke your authorization, USPM will thereafter refrain from using or disclosing your PHI in the manner described in the authorization.
Your Rights Regarding PHI
You have certain rights regarding PHI held or maintained by USPM. This section summarizes those rights:
Right to Request Restrictions on Use and Disclosure
You have the right to request restrictions (in addition to those described in this Notice) on our use and disclosure of PHI. USPM is not required to agree with your request. If we do agree, we will comply with your request unless the use or disclosure of the PHI in question is required for your physician or another health care provider to provide you with emergency treatment. If you wish to request a restriction or limitation on our use or disclosure of PHI under this paragraph, you must make your request in writing to USPM at the address set forth above. Upon receiving your request, we will notify you if we agree to your requested limitations.
Right to Receive Confidential Communications
You have the right to request that you receive communications of PHI from USPM in a certain way or at a certain location. For example, you may request that USPM communicate with you only at work or by mail. To request confidential communications, please submit your request in writing to USPM at the address set forth above. You are not required to provide a reason for your request, and USPM will accommodate reasonable requests. Please be sure to specify how or where you wish to be contacted.
Right to Inspect and Copy Medical Information
Subject to certain limitations, you have the right to inspect and obtain a copy of your PHI. This includes most PHI maintained by USPM, except for information compiled by USPM in anticipation of legal proceedings. If you wish to inspect and copy your PHI, you must submit a written request to USPM at the address set forth above. USPM may charge a fee to cover the cost of providing you with a copy of your PHI. USPM is also permitted to deny your request to inspect and copy PHI under certain limited circumstances. If we deny your request, you may (under most circumstances) request that the denial be reviewed by a licensed health care professional selected by USPM. We will thereafter comply with the decision of the reviewing official. USPM will respond to all requests for access to PHI under this paragraph within 30 days of receipt of written notice by (1) providing the requested access and/or copies of the requested information; (2) notifying you in writing of our denial of your request and the reasons for our denial; or (3) notifying you in writing that we are not able to respond within 30 days and of the date on which you may expect a response.
Right to Amend PHI
You have the right to request that USPM amend PHI if you believe that such information is inaccurate or incomplete. Your request must be in writing and directed to USPM at the address set forth above. Your request must contain your reason for believing that such information is inaccurate or incomplete. USPM may deny your request for amendment if it determines that the information at issue is accurate and complete or that it: (1) was not created by USPM, unless you submit evidence providing a reasonable basis to believe that the originator of the PHI is not available to make the amendment; (2) is not part of the medical information maintained by USPM; or (3) is not part of the PHI that you have the right to inspect and copy.
USPM will respond to all requests under this paragraph within 60 days of receipt of written notice by either (1) agreeing to make the requested amendment(s); (2) notifying you in writing of the denial of your request and the reasons for denial; or (3) notifying you in writing that we are not able to respond within 60 days and of the date on which you may expect a response. If USPM denies your request, you have (a) the right to submit a written statement disagreeing with our denial, which will become part of your PHI, and (b) certain additional rights. Your additional rights and the manner in which a statement of disagreement should be submitted will be described in greater detail in USPM’s denial of your request.
Right to an Accounting of USPM's Use and Disclosure of Your PHI
You have the right to request an “accounting,” or list, of all disclosures by USPM of your PHI other than disclosures that are (1) described in Sections I.A(1), I.B or I.E of this Notice; (2) made for national security or intelligence purposes; or (3) made to law enforcement officials. Your request for an accounting must be submitted in writing to USPM at the address set forth above. We are not required to list disclosures occurring more than 6 years prior to the date of your request. USPM will respond to all requests under this paragraph within 60 days of receipt of written notice by either (a) providing you with the requested accounting, or (b) notifying you in writing of our inability to respond within 60 days and of the date on which you may expect a response. If you request more than one accounting within a 12-month period, we will impose a fee to cover our costs in providing the requested information.
Right to Paper Copy
You have the right to receive a paper copy of this Notice, even if you have received a copy of this Notice electronically. You may submit a written request to USPM’s Member Care, call Services at (866) 713-1180, or email Member Care at MemberCare@uspm.com.
Minimum Necessary Standard
When using or disclosing PHI or when requesting PHI from another covered entity, USPM is required to make reasonable efforts not to use, disclose or request more than the minimum amount of PHI necessary to accomplish its intended purpose, taking into account practical and technological limitations. However, the “minimum necessary” standard described in this paragraph does not apply to: (1) disclosures by USPM for Health Information Review purposes; (2) disclosures to or requests by a health care provider for treatment purposes; (3) disclosures made to or authorized by you; (4) disclosures to the U.S. Department of Health and Human Services; or (5) uses or disclosures that are required by law or for USPM to comply with the law.
You may generally exercise your rights through a personal representative, who will be required to produce evidence of his/her authority to act on your behalf before being given access to your PHI or allowed to take any action for you. Proof of such authority may take one of the following forms: (1) a power of attorney for health care purposes, notarized by a notary public; (2) a court order appointing the person as your conservator or guardian; (3) an individual who is the parent of a minor child; or (4) any other form permitted by applicable state law.
USPM retains the discretion to deny access to PHI to a personal representative in order to protect any person who depends on others to exercise his or her rights and who may be subject to abuse or neglect.
This Notice does not apply to information that does not identify an individual if there is no reasonable basis to believe that the information can be used to identify an individual.
Changes to This Notice
USPM is required by law to maintain the privacy of your PHI and to make this Notice available to you. For so long as this Notice remains in effect, USPM is required by law to comply with the terms of this Notice. However, we reserve the right to change this Notice at any time and in any manner that is permitted under applicable law, and to make the new Notice provisions effective for all PHI that we possess on the date of the amendment or thereafter receive or generate. If we change the contents of this Notice, we will promptly post a copy of the revised Notice in a clear and prominent location on our website and make copies of the revised Notice available. In addition, you may always request a copy of the current Notice at any time, as described above.
You have the right to file a complaint with USPM or with the Secretary if you believe that your privacy rights have been violated. If you wish to file a complaint with USPM, please contact USPM in writing at U.S. Preventive Medicine, Inc. 13245 Atlantic Blvd. Ste. 4-392, Jacksonville, FL 32225. All complaints must be submitted in writing. USPM will not penalize or discriminate against you in any manner if you choose to file a complaint.