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Discussion in 'Fibromyalgia Main Forum' started by kjfms, Apr 22, 2006.

  1. kjfms

    kjfms Member

    Medicare is you insurance provider so yes they have your medical information and you have the right to see what the have you can find a lot of information on their site I have included below. Please it in you favorites...it will come in handy.


    From Medicare site


    Notice of Privacy Practices for the Original Medicare Plan


    By law, Medicare is required to protect the privacy of your personal medical information. Medicare is also required to give you this notice to tell you how Medicare may use and give out (“disclose”) your personal medical information held by Medicare.

    Medicare must use and give out your personal medical information to provide information:

    To you or someone who has the legal right to act for you (your personal representative),
    To the Secretary of the Department of Health and Human Services, if necessary, to make sure your privacy is protected, and
    Where required by law.

    Medicare has the right to use and give out your personal medical information to pay for your health care and to operate the Medicare program. For example:

    Medicare Carriers use your personal medical information to pay or deny your claims, to collect your premiums, to share your benefit payment with your other insurer(s), or to prepare your Medicare Summary Notice.

    Medicare may use your personal medical information to make sure you and other Medicare beneficiaries get quality health care, to provide customer services to you, to resolve any complaints you have, or to contact you about research studies.

    Medicare may use or give out your personal medical information for the following purposes under limited circumstances:

    To State and other Federal agencies that have the legal right to receive Medicare data (such as to make sure Medicare is making proper payments and to assist Federal/State Medicaid programs),
    For public health activities (such as reporting disease outbreaks),
    For government health care oversight activities (such as fraud and abuse investigations),
    For judicial and administrative proceedings (such as in response to a court order),
    For law enforcement purposes (such as providing limited information to locate a missing person),
    For research studies that meet all privacy law requirements (such as research related to the prevention of disease or disability),
    To avoid a serious and imminent threat to health or safety,
    To contact you about new or changed benefits under Medicare, and
    To create a collection of information that can no longer be traced back to you.

    By law, Medicare must have your written permission (an “authorization”) to use or give out your personal medical information for any purpose that isn’t set out in this notice. You may take back (“revoke”) your written permission at any time, except if Medicare has already acted based on your permission.

    By law, you have the right to:

    See and get a copy of your personal medical information held by Medicare.
    Have your personal medical information amended if you believe that it is wrong or if information is missing, and Medicare agrees. If Medicare disagrees, you may have a statement of your disagreement added to your personal medical information.
    Get a listing of those getting your personal medical information from Medicare. The listing won’t cover your personal medical information that was given to you or your personal representative, that was given out to pay for your health care or for Medicare operations, or that was given out for law enforcement purposes.

    Ask Medicare to communicate with you in a different manner or at a different place (for example, by sending materials to a P.O. Box instead of your home address).
    Ask Medicare to limit how your personal medical information is used and given out to pay your claims and run the Medicare program. Please note that Medicare may not be able to agree to your request.
    Get a separate paper copy of this notice.

    Look at our Medicare Privacy Practices (HIPAA) FAQs for more information on:
    Exercising your rights set out in this notice.
    Filing a complaint, if you believe the Original Medicare Plan has violated these privacy rights. Filing a complaint won’t affect your benefits under Medicare.
    You can also call 1-800-MEDICARE (1-800-633-4227) to get this information. Ask to speak to a Customer Service Representative about Medicare’s privacy notice. TTY users should call 1-877-486-2048.

    You may file a complaint with the Secretary of the Department of Health and Human Services. Visit www.hhs.gov/ocr/hipaa or contact the Office for Civil Rights at 1-866-627-7748. TTY users should call 1-800-537-7697.

    By law, Medicare is required to follow the terms in this privacy notice. Medicare has the right to change the way your personal medical information is used and given out. If Medicare makes any changes to the way your personal medical information is used and given out, you will get a new notice by mail within 60 days of the change.

  2. kjfms

    kjfms Member

    This link will take you to Kaiser (I hope it is the right one)


    As for the Privacy/Disclosure Form I would mark other the type all diagnoses on separate sheet of paper and attach to the form.

    Make sure you read this it will tell you how they will use you health information and what you need to do if you do not want them to do certain things. This is basically the HIPAA Privacy Rules they are required to send you.

    ....gosh don't you just love all of this...they make it so complicated.

    Now for that Psychiatrist...I agree with you the questions seem odd...to say the least. I would just ask him...what they have to do with you treatment?

    I would also ask him to put the questions in hard copy format. Then just tell him you will see that your husband gets them...now whether or not you hubby wants to answer is up to him isn't it?...LOL

    Do call Medicare and ask them any questions you have that is what they are there for.

    Update me if you want I would be interested in finding out what happens.

    I hope I have help a little bit. I know it is not much but maybe it is a start anyway.

    I know it is easy for me to say this to you but try to remain calm and not worry too much. There is no need to make yourself more sick....right?

    Good luck,


  3. kjfms

    kjfms Member

    ...you are more than welcome. I have been in study mode and this was a good work out for me.

    Sorry I was unable to help more with the psychiatrist question.


    [This Message was Edited on 04/22/2006]

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