What is HIPAA, and what rights does it grant me?

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  1. Dr. Michael Roizen
     
    Dr. Michael Roizen answered:

    HIPAA, though it sounds like it might be a female hippo, is actually short for the Health Insurance Portability and Accountability Act of 1996. HIPAA protects the privacy of your medical records since the law states that it is illegal to share your health information with anyone not involved with your care, unless you give the A-OK in writing.

    HIPAA also gives you a number of important rights, including:

    • The right to see and get a copy of your healthcare records.
    • The right to get written information that tells you how your health
             information may be used and shared.
    • The right to know when and why your healthcare information was
             shared.
    • The right to have your healthcare records corrected.
    • The right to decide if you want to allow your healthcare information
             to be used or shared for purposes such as for marketing.

     

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    HIPAA, though it sounds like it might be a female hippo, is actually short for the Health Insurance Portability and Accountability Act of 1996. HIPAA protects the privacy of your medical records since the law states that it is illegal to share... More
  2. Dr. Mehmet Oz
     
    Dr. Mehmet Oz answered:
    In April 2003, when the government passed the Health Insurance Portability and Accountability Act (HIPAA), it was meant to improve both the confidentiality and accessibility of your medical file.

    Specifically, HIPAA gives you the right to…
    1. Access. You can see, supplement, and copy your health records. If you want to review your medical records, request them by contacting the doctor's office or hospital where you were treated. Usually you'll sign a "release of information" form; it may ask you to specify the information you want.
    2. Change. You can request that your medical records be amended if they're incorrect. You can do this by contacting the health professional who made the entry (such as your doctor) or the health information management staff member at a larger medical office or hospital. If your request is denied, you can have your written request put in your file.
    3. Complain. If your privacy has been violated, you can file a complaint with the person at your doctor's office, hospital, or insurance company who's responsible for handing privacy issues. If that doesn't give you satisfaction, you can formally complain to the Department of Health and Human Services Office for Civil Rights by calling 800-368-1019 or clicking on http://www.hhs.gov/ocr/hipaa.
    4. Be updated. Your doctors, hospitals, and insurance companies are required to inform you about their privacy practices. You'll probably receive the notice on your first visit.
    5. Restrict. You can request that the use and disclosure of your health information be restricted to certain purposes. Your doctor or hospital doesn't have to agree to your request, however, and may still be legally forced to share your info in certain circumstances (in case, say, you have a communicable disease or one that's recorded in state records). This aspect of HIPAA didn't represent a huge change from the confidentiality practices that had long existed in medicine.
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  3. American Diabetes Association
     
    HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. HIPAA established special protections for certain people -- called "federally eligible individuals" or "HIPAA eligible individuals" -- when they lose group health coverage. Once people become HIPAA-eligible, they are guaranteed an offer of at least two health insurance policies that do not impose pre-existing condition exclusion periods. HIPAA is silent on what people can be charged for such coverage.

    HIPAA's requirement to guarantee issue coverage with no pre-existing conditions varies between states. In some states, HIPAA rules apply to all private insurance companies that sell coverage in the individual health insurance market. Some states, however, have made alternative arrangements to guarantee these HIPAA protections only from the state high-risk pool. Private insurers in these states are still free to medically underwrite their policies and deny applicants and impose pre-ex periods, even for HIPAA eligible individuals.

    A number of states also limit how much insurers can charge HIPAA eligible individuals (and often other residents) for coverage.
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  4. Dr. Kathleen Handal
     
    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law enacted to protect your privacy. Understand that the information put in your file during your hospital visit is only accessible to people who need to know about you, including your health insurer. So tests, lab reports, doctor’s notes, and even conversations you have with the doctors and nurses are confidential. This law also gives you the right to access your health records. If you determine incorrect information has been included in your file, there are steps you can take to ask for corrections.

    Sounds great, but there’s a flip side. When someone calls the ER to find out how you’re doing, no one can tell them you’re there or how you’re doing without your permission. You will be asked to specify who the medical staff can talk to about your status.
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  5. Office of the National Coordinator for Health IT
     

    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule establishes Federal protections for your health information by placing some limits on how it may be used and shared. You play an important role in controlling who has access to your health information in many situations.

    Privacy protections apply to your "individually identifiable health information," which means:

    • Information that relates to the individual's past, present or future physical or mental health or condition; to the provision of health care to an individual; or to past, present or future payment for the provision of health care to the individual
    • Information that identifies the individual, or for which there is a reasonable basis to believe it can be used to identify the individual
    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule establishes Federal protections for your health information by placing some limits on how it may be used and shared. You play an important role in controlling... More