- Privacy Notice for the Use and Disclosure of Medical Information
- Your Rights Concerning Your Medical Information
Liberty Healthcare Group, Inc. (Liberty) and its affiliates* (“we” or “Liberty”) is committed to protecting your privacy. Therefore, Liberty has developed policies and procedures to ensure that the information you provide to us through our web site, the Libertymedical.com, is collected and maintained in a manner that respects your privacy. This Medical Information Privacy Notice explains these important policies and procedures so that you will be aware of how we collect and use the information you provide us, and how you may modify and/or delete this information.
Because your privacy is important to us, Liberty does not track or collect personal information unless it is purposefully and knowingly provided to us. In other words, we do not collect your information without your knowledge.
Should you request that we contact you to provide additional information about our products and services, and you have provided us with personal information so that we may do so, we will not use or disclose this information outside of Liberty without your consent, unless required by law. In the event that you use Liberty’s products/services, we may use and/or disclose the information that you provide to us in communications with your treating physician and/or insurance plans.
To summarize, it is our policy: (1) not to collect your personal information without your knowledge and consent; (2) to protect the privacy of any personal information you choose to provide to us; (3) to notify you of our policies and procedures regarding your personal information; and (4) to abide by the terms of this Privacy Statement. We are dedicated to fulfilling this policy.
Privacy Notice for the Use and Disclosure of Medical Information
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.
Liberty and its Affiliates provide health related products, services and information to patients through mail or package delivery, telephone, and online communications. In order to provide these products, services, and information, Liberty uses and discloses medical information about patients as described in this Privacy Notice.
Liberty and its covered entities are required by law to maintain the privacy of legally protected individually identifiable health-related information (“your medical information”) about you and to provide you with this notice of our legal duties and privacy practices with respect to this information.
How Liberty and its Affiliates Use and Disclose Your Medical Information
- Your medical information will be used or disclosed in connection with your health care treatment. For example, your medical information may be used to provide healthrelated products to you and to coordinate with your doctor to ensure that you receive the products that your doctor has prescribed to you.
- Your medical information will be used and disclosed as needed to collect payments for the products and services that you receive, such as when Liberty and its affiliates bill Medicare, your private insurance carrier, or you for the items you receive.
- Your medical information will be used and disclosed as needed to manage and improve the quality of Liberty’s and it affiliates’ internal health care operations, including uses such as quality assessments, audits, and other similar functions. Limited medical information about you may also be disclosed to your insurers or doctors for managing their internal health care operations.
- Your medical information may be disclosed to third parties that provide certain services to us, such as data processing, billing, legal, or accounting services, under contracts that protect your medical information from unauthorized use or disclosure.
- Your medical information may be disclosed to family members, other relatives, close personal friends, or other persons whom you may authorize, as we determine in our professional judgment to be relevant to their involvement in your health care.
- We may contact you to provide prescription refill reminders or information about treatment alternatives or other healthrelated benefits and services that may be of interest to you.
- Your medical information may be used or disclosed to the Food and Drug Administration (“FDA”) or to entities regulated by the FDA relative to adverse events involving products or to enable product recalls, repairs, or replacements of products; to public health or legal authorities responsible for safeguarding public health or preventing injury or disease; or to health oversight agencies for activities such as audits, investigations, inspections, or other proceedings to monitor our operations, the health care system, government health programs, or compliance with civil rights laws.
- Your medical information may be disclosed to provide information needed for law enforcement purposes or for a legal proceeding. Your medical information may be disclosed for judicial or administrative proceedings pursuant to a court or administrative order or in response to a subpoena, discovery request or other lawful process, provided that in the absence of a court or administrative order, reasonable efforts are made to notify you of the request or to secure a protective order preventing the information from being used for other purposes.
- We are permitted to disclose your medical information to social services, protective services or other government authorities if we reasonably believe that you are a victim of abuse, neglect, or domestic violence, provided that the disclosure is either required by law, authorized by you, allowed by law and necessary to prevent harm to you or someone else, or a law enforcement or public official represents that the information is necessary and will not be used against you.
- In addition, federal regulations allow us to use or disclose your medical information for other specific purposes, including: compliance with worker’s compensation laws; assisting coroners, medical examiners and funeral directors in performing their functions; aiding organ or tissue procurement organizations in performing their donation, banking, or transplantation functions; notifying family members, personal representatives, or caregivers of your location and general condition; providing information to military command authorities if you are in a military service, a correctional institution if you are an inmate, or legally authorized national security, intelligence, or protective service authorities; or for research under approved protocols to protect your privacy.
- Your medical information may be disclosed to provide emergency information to law enforcement, emergency response, or disaster relief officials; to avert a serious threat to the health or safety of you, the public, or another person; or as otherwise required by law.
- We will obtain your written authorization before we use or disclose your medical information for purposes other than those described above or as otherwise permitted or required by law. You may revoke an authorization in writing at any time, requiring us to stop using or disclosing your medical information except to the extent that we have already acted in reliance on your authorization.
- We will obtain your written authorization before we use or disclose PHI for thirdparty marketing purposes or for the sale of PHI.
Your Rights Concerning Your Medical Information
- You have the right to inspect, copy and request amendments to your medical information by sending a written request to the Privacy Officer at the address provided below. We may deny requests for access and amendment in certain instances. You have a right to ask that most denials of access be reconsidered, and you have a right to submit a statement disagreeing to a decision to reject a proposed amendment, to which we may respond.
- You have the right to request and receive an accounting of disclosures of your medical information that we or our business associates may make to certain third parties without your authorization on or after April 14, 2003, for most purposes other than treatment, payment or health care operations. We may charge a fee if you request more than one accounting during any 12month period. Your request must specify the time period to be covered in the accounting, up to 6 years.
- You have the right to request reasonable arrangements to ensure that communications containing your medical information are provided to you in a confidential manner or to an alternative location.
- You have the right to request restrictions on certain uses and disclosures of your medical information, although we are not required to agree to a requested restriction.
- You have the right to request and receive a copy of this Privacy Notice.
- You have the right to be notified in case of a breach of unsecured PHI.
- If you believe that your privacy rights have been violated, you have a right complain to Liberty, or its affiliates, or to the U.S. Department of Health and Human Services. You may contact Liberty’s Privacy Officer at the address or phone number provided below. No adverse action or retaliation will be taken against you for filing a complaint.
We are required to abide by the terms of this Privacy Notice currently in effect. We reserve the right to change the terms of this notice and make the new notice effective for all of the medical information about you that we maintain. Any revised Privacy notice will be posted on our web site, inserted in packages that we send to new customers, and provided in response to written, telephone or e-mail requests.
For further information about our privacy policies and practices, or to exercise any of your rights as described herein, please contact:
8881 Liberty Lane
Port St Lucie FL 34952
This Privacy Notice is effective September 2013.
* Liberty and its affiliates include ATLS Acquisition LLC, FGST Investments, Inc., PolyMedica Corporation, Liberty Medical Supply, Inc., Liberty Healthcare Pharmacy of Nevada, LLC, Liberty Diabetes, Inc., and Liberty Marketplace, Inc. d/b/a LibertyMedicalDirect.com.