FINANCIAL INFORMATION PRIVACY NOTICE
We are committed to maintaining the confidentiality of your personal financial information.
For the purposes of this notice, “personal financial information” means information, other than health information, about an enrollee or an applicant for health care coverage that identifies the individual, is not generally publicly available and is collected from the individual or is obtained in connection with providing health care coverage to the individual.
We collect personal financial information about you from the following sources:
▪ Information we receive from you on patient registration forms, such as name, address, age and social security number; and
▪ Information about your transactions with your insurance provider, such as deductibles, co-payments, and coverage related information.
We do not disclose personal financial information about our patients to any third party, except as required or permitted by law.
We restrict access to personal financial information about you to employees and service providers who are involved in administering your health care coverage and providing services to you. We maintain physical, electronic and procedural safeguards that comply with federal standards to guard your personal financial information.
