Page 39 - Demo

%u2022 The Right to See and Get Copies of Your Protected Health Information. You can look at or get copies of your protected health information that TRS has or that a business associate maintains on TRS%u2019s behalf. You must make this request in writing. If your protected health information is not on file at TRS and TRS knows where the information is maintained, TRS will tell you where you can ask to see and get copies of your information. You may not inspect or copy psychotherapy notes or certain other information that may be contained in a designated record set that is in the possession of TRS or a business associate of TRS. If you request copies of your protected health information, TRS can charge you a fee for each page copied, for the labor involved in compiling and copying the information, and for postage if you request that the copies be mailed to you. Instead of providing the protected health information you request, TRS may provide you with a summary or explanation of the information, but only if you agree in advance to: %u2022 Receive a summary or explanation instead of the detailed protected health information; and %u2022 Pay the cost of preparing the summary or explanation. The fee for the summary or explanation will be in addition to any copying, labor, and postage fees that TRS may require. If the total fees will exceed $40, TRS will tell you in advance. You can withdraw or change your request at any time. TRS may deny your request to inspect and copy your protected health information in certain limited circumstances. If you are denied access to your protected health information, you may request that the denial be reviewed. TRS will choose a licensed health care professional to review your request and the denial. The person performing this review will not be the same one who denied your initial request. Under certain conditions, the denial will not be reviewable. If this event occurs, TRS will inform you in our denial that the decision is not reviewable. %u2022 The Right to Get a List of TRS%u2019s Uses and Disclosures of Your Protected Health Information. You have the right to get a list of TRS%u2019s uses and disclosures of your protected health information. By law, TRS is not required to create a list that includes any uses or disclosures: %u2022 To carry out treatment, payment, or health care operations; %u2022 To you or your personal representative; %u2022 Because you gave your permission; %u2022 For national security or intelligence purposes; %u2022 To corrections or law enforcement personnel; or %u2022 Made prior to three (3) years before the date of your request, but in no event made before April 14, 2003. %u2022 TRS will respond to your request within 60 days of receiving it. TRS can extend this deadline one time by an additional 30 days. If TRS extends its response time, TRS will tell you in writing the reasons for the delay and the date by which TRS will provide the list. The list will include: %u2022 The date of the disclosure or use; %u2022 The person or entity that received the protected health information; %u2022 A brief description of the information disclosed; and %u2022 Why TRS disclosed or used the information. %u2022 If TRS disclosed your protected health information because you gave TRS written permission to disclose the information, instead of telling you why TRS disclosed information, TRS will give you a copy of your written permission. You can get a list of disclosures for free every 12 months. If you request more than one list during a 12-month period, TRS can charge you for preparing the list, including charges for copying, labor, and postage to process and mail each additional list. These fees will be the same as the fees allowed under the Texas Public Information Act. TRS will tell you in advance of the fees it will charge. You can withdraw or change your request at any time. www.bcbstx.com/trsactivecare 39