Notice of Privacy Practices
Effective July 2013
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.
The purpose of this notice is to:
VSP is required to abide by the terms of this notice currently in effect by:
VSP reserves the right to revise the terms of this notice, and to make the revised terms effective for all Protected Health Information that it maintains. If VSP revises this notice, we will make the revised notice available on our website and include information about the changes in our next annual mailing.
A person or entity that uses Protected Health Information to perform a service for VSP. These services include, but are not limited to :
Health Care Operations
Activities related to VSP operations, including but not limited to:
VSP collection of insurance premiums or its determination and payment of claims.
Protected Health Information
Information relating to a VSP patient's past, present or future health or condition, the provision of health care to a VSP patient, or payment for the provision of health care to a VSP patient. Protected Health Information includes, but is not limited to :
The provision, coordination or management of vision care and related services by one or more vision care providers.
How VSP Uses and Discloses Information About You
VSP will only use and disclose your Protected Health Information without your authorization when necessary for:
Disclosure to VSP’s Business Associates
VSP will only disclose your Protected Health Information to Business Associates who have agreed in writing to maintain the privacy of Protected Health Information as required by law.
Use or Disclosure Requiring Authorization
VSP will not use or disclose your Protected Health Information for purposes other than those described in this notice. If it becomes necessary to disclose any of your Protected Health Information for other reasons, VSP will request your written authorization. VSP will obtain your authorization for any sale of Protected Health Information, or to use or disclose your Protected Health Information for marketing.
If you provide written authorization, you may revoke it at any time in writing, except to the extent that VSP has relied upon the authorization prior to its being revoked.
Use or Disclosure Required or Permitted by Law
VSP may use or disclose your Protected Health Information to the extent that the law requires the use or disclosure
Use and Disclosure Examples
Disclosure Requiring Opportunity to Object
VSP may disclose your Protected Health Information to a family member, friend, or other person involved in your care or payment if the information is relevant to their involvement and you have agreed or had an opportunity to object
VSP is prohibited from using or disclosing your genetic information for underwriting purposes.
Exercising Your Rights
You may exercise any of your below rights by calling our Member Services Department at 800.877.7195.
Review Your Protected Health Information
You have a right to inspect and obtain a copy of your Protected Health Information.
Important : If you feel your Protected Health Information is incomplete or incorrect, you have the right to request that it be amended.
Request to Restrict Your Protected Health Information
You can request restrictions on the use and disclosure of your Protected Health Information. VSP is not required to agree to a requested restriction.
Example : If a restriction request prevents us from providing service to you or from performing payment related functions, we will not be able to agree to the request.
When necessary, VSP may seek to contact you by calling you at your home or by sending mailings containing your Protected Health Information to your home. If you feel that such communications could compromise your safety, you may request in writing an alternate communication method and/or location.
Important : VSP may require that a request contain a statement that disclosure of all or part of the information to which the request pertains could endanger the individual, and VSP may, if and to the extent that applicable law allows, request payment for this service.
Examples : The patient may decide, for his or her safety, to have correspondence containing his or her Protected Health Information sent somewhere other than to his or her home, or to have the information sent via fax rather than mailed.
Accounting of Disclosures
If a disclosure of your Protected Health Information was made for a reason other than treatment, payment or health care operations, you have a right to receive an accounting of the disclosure.
Important : If the disclosure was made to you, VSP will not provide an accounting.
Receive a Copy
You can view and print a copy of this Notice of Privacy Practices through vsp.com. You may also request a copy from your Benefit Administrator, or you may request a paper copy from VSP .
If you believe that your privacy rights have been violated, you may submit a complaint to VSP or to the U.S. Secretary of Health and Human Services at any time. VSP will not retaliate against you for filing a complaint. You may file a complaint with VSP through vsp.com, or by calling our Member Services Department at 800.785.0699.
For questions about this notice or your privacy, contact our HIPAA Privacy Officer through vsp.com, or call our Member Services Department at 800.785.0699.