Privacy of Your Health Information
The privacy and security of your health information is very important to The Health Plan. For that reason, we have procedures in place to ensure that your information is well protected. The following notice, describe in detail the processes in place to ensure the privacy of your health information.
Our Customer Services Department is available to assist you with any questions or concerns. You can call Member Services at 1.877.847.7907 (TTY: 1.800.622.3925) in the Ohio Valley or Mountaineer Region or 1.800.426.9013 (TTY: 1.877.236.2291) in the HomeTown Region.
Documents can be ordered by Name (Alpha Ascending or Descending), Date Added or Number of Hits that the document has received to make it easier to find the document you want to download. Simply click on "Order By" Name, Date or Hits and "Ascendant" or "Descendent" and they will automatically repopulate accordingly.
We have developed a number of forms for you to utilize for reporting and/or requesting information pertaining to the Privacy of Your Health Information. The following forms are available for your use:
Request to Amend Protected Health Information
| Date added: | 09/30/2011 |
| Filesize: | 26.01 kB |
| Downloads: | 990 |
Request for an Accounting of Diclosures
| Date added: | 09/30/2011 |
| Filesize: | 23.85 kB |
| Downloads: | 913 |
Privacy Complaint
| Date added: | 09/30/2011 |
| Filesize: | 24.28 kB |
| Downloads: | 914 |
Notice of Privacy Practices
| Date added: | 09/30/2011 |
| Filesize: | 43.14 kB |
| Downloads: | 917 |
Individual Request for Access to Protected Health Information
| Date added: | 09/30/2011 |
| Filesize: | 24.99 kB |
| Downloads: | 922 |
Authorization to Disclose Protected Health Information
| Date added: | 09/30/2011 |
| Filesize: | 29.31 kB |
| Downloads: | 944 |
Ohio Valley/ Mountaineer Region Office
P: 740.695.7902
TF: 1.888.847.7902
F: 740.699.6163
Email: information@healthplan.org
Hours: Mon- Fri., 8:30 am to 5:00 pm
HomeTown Region Office
P: 330.837.6880
TF: 1.800.426.9013
F: 330.830.5634
Email: information@healthplan.org
Hours: Mon- Fri., 8:00 am to 5:00 pm