Patient Privacy Policy

This notice describes how we collect, use, secure and share non-public personal information. We are providing this notice as a result of your involvement with one of our business associates or as a Simple Pharmacy client. 

We are required by law to protect the privacy of medical information about you and that identifies you.  This medical information may be information about healthcare we provide to you or payment for healthcare provided to you.  It may also be information about your past, present, or future medical condition.

We are also required by law to provide you with this Notice of Privacy Practices explaining our legal duties and privacy practices with respect to medical information.  We are legally required to follow the terms of this Notice.  In other words, we are only allowed to use and disclose medical information in the manner that we have described in this Notice.

 

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) NOTICE OF PRIVACY PRACTICE All Together Pharmacy.

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This is our HIPAA Notice of Privacy Practices (Notice). We’ll provide a copy of the Notice at the time of policy issuance of a HIPAA-covered product, upon request, or as required by law thereafter. 

 

How We Collect Information About You

 

All Together Pharmacy and its employees and volunteers collect data through a variety of means including but not necessarily limited to letters, website traffic, phone calls, emails, voicemails, and from the submission of applications that are either required by law or necessary to process applications or other requests for assistance through our organization.

 

What We Do Not Do With Your Information: 

 

Information about your financial situation and medical conditions and care that you provide to us in writing, via email, on the phone (including information left on voicemails), contained in or attached to applications, or directly or indirectly given to us, is held in strictest confidence.

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We do not give out, exchange, barter, rent, sell, lend, or disseminate any information about applicants or clients who apply for or actually receive our services that are considered patient confidential, restricted by law, or specifically restricted by a patient/client in a signed HIPAA consent form.

 

How We Do Use Your Information: 

 

Information is only used as is reasonably necessary to process your application or to provide you with health or prescription drug services which may require communication between Indispensable Health, Simple Pharmacy, and your health care insurance provider, medical product or service providers, pharmacies, and other providers necessary to verify your medical information is accurate and determine the type of medical supplies or health care services you need. This is including, but not limited to, or to obtain or purchase any type of medical supplies, devices, medications, or insurance.

 

If you apply or attempt to apply to receive assistance through us and provide information with the intent or purpose of fraud or that results in either an actual crime of fraud for any reason including willful or un-willful acts of negligence whether intended or not, or in any way demonstrates or indicates attempted fraud, your non-medical information can be given to legal authorities including police, investigators, courts, and/or attorneys or other legal professionals, as well as any other information as permitted by law.

 

Limited Right to Use Non-Identifying Personal Information From Biographies, Letters, Notes, and Other Sources: 

 

Any pictures, stories, letters, biographies, correspondence, or thank you notes sent to us become the exclusive property of HHSN. We reserve the right to use non-identifying information about our clients (those who receive services or goods from or through us) for fundraising and promotional purposes that are directly related to our mission.

 

Clients will not be compensated for use of this information and no identifying information (photos, addresses, phone numbers, contact information, last names or uniquely identifiable names) will be used without the client’s express advance permission.

 

You may specifically request that NO information be used whatsoever for promotional purposes, but you must identify any requested restrictions in writing. We respect your right to privacy and assure you no identifying information or photos that you send to us will ever be publicly used without your direct or indirect consent.

 

YOUR STATE PRIVACY RIGHTS

Your state law may provide greater or different privacy rights regarding the protection, use, or disclosure of information. Your rights are as followed; 

1. Right to a Copy of This Notice
   You have a right to have a paper copy of our Notice of Privacy Practicesat any time.  In addition, a copy of this Notice will always be posted in our waiting area.  If you would like to have a copy of our Notice, ask the receptionist for a copy or contact our Privacy Officer. 

2. Right of Access to Inspect and Copy
   You have the right to inspect (which means see or review) and receive a copy of medical information about you that we maintain in certain groups of records. If we maintain your medical records in an Electronic Health Record (EHR) system, you may obtain an electronic copy of your medical records. You may also instruct us in writing to send an electronic copy of your medical records to a third party.If you would like to inspect or receive a copy of medical information about you, you must provide us with a request inwriting.  You may write us a letter requesting access or fill out an Access Request Form. Access Request Forms are available from our Privacy Officer. 

   1. We may deny your request in certain circumstances.  If we deny your request, we will explain our reason for doing so in writing.  We will also inform you in writing if you have the right to have our decision reviewed by another person.

   2. If you would like a copy of the medical information about you, we will charge you a fee to cover the costs of the copy.Our fees for electronic copies of your medical records will be limited to the direct labor costs associated with fulfilling your request.

   3. We may be able to provide you with a summary or explanation of the information.  Contact our Privacy Officer for more information on these services and any possible additional fees.

3. Right to Have Medical Information Amended
   You have the right to have us amend (which means correct or supplement) medical information about you that we maintain in certain groups of records.  If you believe that we have information that is either inaccurate or incomplete, we may amend the information to indicate the problem and notify others who have copies of the inaccurate or incomplete information.  If you would like us to amend information, you must provide us with a request in writing and explain why you would like us to amend the information.  You may either write us a letter requesting an amendment or fill out an Amendment Request Form.  Amendment Request Forms are available from our Privacy Officer.  

   1. We may deny your request in certain circumstances.  If we deny your request, we will explain our reason for doing so in writing.  You will have the opportunity to send us a statement explaining why you disagree. You have rights with respect to medical information about you with our decision to deny your amendment request and we will share your statement whenever we disclose the information in the future.

4. Right to an Accounting of Disclosures We Have Made
   ​You have the right to receive an accounting (which means a detailed listing) of disclosures that we have made for the previous six (6) years.  If you would like to receive an accounting, you may send us a letter requesting an accounting, fill out an Accounting Request Form, or contact our Privacy Officer.  Accounting Request Forms are available from our Privacy Officer.

   1. The accounting will not include several types of disclosures, including disclosures for treatment, payment or healthcare operations. If we maintain your medical records in an Electronic Health Record (EHR) system, you may request that include disclosures for treatment, payment or healthcare operations.The accounting will also not include disclosures made prior to April 14, 2003. 

   2. If you request an accounting more than once every twelve (12) months, we may charge you a fee to cover the costs of preparing the accounting.

5. Right to Request Restrictions on Uses and Disclosures
   You have the right to request that we limit the use and disclosure of medical information about you for treatment, payment and healthcare operations. Under federal law, we must agree to your request and comply with your requested restriction(s) if:

   1. Except as otherwise required by law, the disclosure is to a health plan for purpose of carrying out payment of healthcare operations (and is not for purposes of carrying out treatment); and,

   2. The medical information pertains solely to a healthcare item or service for which the healthcare provided involved has been paid out-of-pocket in full.

   3. Once we agree to your request, we must follow your restrictions (except if the information is necessary for emergency treatment).  You may cancel the restrictions at any time.  In addition, we may cancel a restriction at any time as long as we notify you of the cancellation and continue to apply the restriction to information collected before the cancellation.

   4. You also have the right to request that we restrict disclosures of your medical information and healthcare treatment(s)to a health plan (health insurer) or other party, when that information relates solely to a healthcare item or service for which you, or another person on your behalf (other than a health plan), has paid us for in full. Once you have requested such restriction(s), and your payment in full has been received, we must follow your restriction(s).

6. Right to Request an Alternative Method of Contact
   You have the right to request to be contacted at a different location or by a different method.  For example, you may prefer to have all written information mailed to your work address rather than to your home address. We will agree to any reasonable request for alternative methods of contact.  If you would like to request an alternative method of contact, you must provide us with a request in writing.  You may write us a letter or fill out an Alternative Contact Request Form. Alternative Contact Request Forms are available from our Privacy Officer.

7. Right to Notification if a Breach of Your Medical Information Occurs
   You also have the right to be notified in the event of a breach of medical information about you.If a breach of your medical information occurs, and if that information is unsecured (not encrypted), we will notify you promptly with the following information

   1. A brief description of what happened;

   2. A description of the health information that was involved;

   3. Recommended steps you can take to protect yourself from harm;

   4. What steps we are taking in response to the breach; and,

   5. Contact procedures so you can obtain further information.

8. Right to Opt-Out of Fundraising Communications
   If we conduct fundraising and we use communications like the U.S. Postal Service or electronic email for fundraising, you have the right to opt-out of receiving such communications from us. Please contact our Privacy Officer to opt-out of fundraising communications if you choose to do so.

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EFFECTIVE DATE

This HIPAA Notice of Privacy Practices is effective May 19, 2024.

©Copyright,All Together Pharmacy

Home Offices: Grass Lake, MI 49240

114 E Michigan Avenue, Suite 1

Phone: (877) 207-9593

Fax: (866) 951-7727

AllTogetherRx@gmail.com