MMM Healthcare, LLC. Notice of Privacy Practices
This notice will be effective on October 15, 2016
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
MMM Healthcare, LLC. (MMM) is committed to protect the privacy of your medical records and personal health information. We are required by law to maintain the privacy of your personal health information and provide you with a notice of our legal duties and privacy practices with respect to your personal health information. In case that a breach of unsecured protected health information occurs, you have the right to be notified. This notice describes how we use and disclose your personal health information. It also describes your rights and our legal obligations with respect to your personal health information. A copy of this Notice will be posted in our web sites at www.mmm-pr.com, www.pmcpr.org, www.firstpluspr.com.
Your health information is in a medical record that is the property of MMM
MMM use health information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive. Your health information is contained in a medical record that is the physical property of MMM.
If we implement a change in a privacy practice described in this notice prior to issuing a revised notice, we reserve the right to change the terms of this notice and make the new notice provisions effective for all the protected health information that we maintain. MMM will post any changes of the notice on the website of the company and will provide the notice to you in the next annual mailing.
You have the right to file a complaint with MMM and with the Department of Health and Human Services’ Office for Civil Rights by calling 1-800-368-1019 (TTY 1-800-537-7697) or your local Office for Civil Rights. We will not penalize nor retaliate against you for filing a complaint with us or before the Department of Health and Human Services. If you believe that your privacy rights have been violated, calling Member Services is the first step. If you do not wish to call (or you called and were not satisfied), you can put your complaint in writing and send it to us at:
PO Box 71114
San Juan, PR 00936-8014
If you have questions or concerns about the privacy of your protected health information or wish to file a complaint please call us at:
Medicare y Mucho Más (MMM) (HMO), PMC Medicare Choice (PMC) (HMO) and FIRST+PLUS (PPO), products offered by MMM Healthcare, LLC, are plans with a Medicare contract. Enrollment in the plans depends on contract renewal. To enroll, you must have Medicare Parts A and B, have not been diagnosed with End Stage Renal Disease (ESRD) and reside within the 78 municipalities of the Island. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. MMM Healthcare, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-333-5470. (TTY: 1-866-333-5469). Lunes a domingo, de 8:00 a.m. a 8:00 p.m.
H4003-MMM Healthcare, LLC H4004-PMC Medicare Choice H7522-MMM Healthcare, LLC Y0049_2017 4006 0005 1 Pending
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