This notice describes how health-related information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.
1. Our Obligations
GinaCare Community Services, LLC may collect and use health-related information about you in connection with benefit navigation services, including assistance with Medicare, Medicaid, homecare placement, and other health-related programs. When we handle such information, we are committed to protecting its privacy in accordance with applicable law.
We are required by applicable law to:
- Maintain the privacy of your health-related information
- Provide you with this notice of our privacy practices
- Follow the terms of the notice currently in effect
- Notify you in the event of a breach of your unsecured health information
2. How We Use Health Information
We may use and disclose health-related information about you for the following purposes:
To Provide Services
We use health information to determine your eligibility for benefits such as Medicaid, Medicare, EPIC, homecare programs, and Access-A-Ride — and to complete related applications on your behalf with your consent.
With Your Authorization
For any use or disclosure not described in this notice, we will obtain your written authorization. You may revoke your authorization at any time in writing.
As Required by Law
We may disclose health information when required by federal or New York State law, including in response to a valid subpoena or court order.
3. Your Rights
You have the following rights regarding health information we maintain about you:
- Right to Access: You may request a copy of health information we hold about you
- Right to Amend: You may request correction of inaccurate information
- Right to Restrict: You may request that we limit how we use or share your information
- Right to an Accounting: You may request a list of disclosures we have made
- Right to a Paper Copy: You may request a paper copy of this notice at any time
To exercise any of these rights, please contact us in writing at the address below.
4. Changes to This Notice
GinaCare reserves the right to change this notice at any time. We will post the revised notice on our website. The revised notice will apply to all information we currently maintain as well as information we receive in the future.
5. Questions or Complaints
If you have questions about this notice or believe your privacy rights have been violated, you may contact us or file a complaint with the U.S. Department of Health and Human Services:
GinaCare Community Services, LLC
25 North Lexington Avenue, White Plains, NY 10601
U.S. HHS Office for Civil Rights: www.hhs.gov/hipaa · 1-800-368-1019
You will not be penalized for filing a complaint.