MMM Healthcare, LLC. Notice of Privacy Practices
This notice will be effective on July 1, 2018
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. MMM is 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 MMM use and disclose your personal health information. It also describes your rights and our legal obligations with respect to your personal health information. MMM follows the duties and privacy practices notified in this notice and will not use or share your personal health information in other way than described in this notice unless it is authorized by you in writing. A copy of this Notice will be posted in our web site 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 uses health information about you for the pupose of providing you 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.
MMM is required to abide by the terms of this notice. If MMM implements a change in a privacy practice described in this notice prior to issuing a revised notice, MMM reserves the right to change the terms of this notice and make the new notice provisions effective for all the protected health information that MMM 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. MMM 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:
MMM complies with applicable Federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, or sex. MMM does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. MMM provides free aids and services to people with disabilities to communicate effectively with us, such as: qualified sign language interpreters, written information in other formats (large print, audio, accessible electronic formats), provides free language services to people whose primary language is not such English, such as qualified interpreters, information written in other languages. If you need these services, contact the Client Services Unit.
If you believe that MMM has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with the Appeals and Grievances Department. You can file a grievance in person or by mail, fax, or email:
For members of MMM: Appeals and Grievances, Po Box 71114 San Juan, Puerto Rico, 00936-8014 fax number: 787-622-0485 email: email@example.com
For members of PMC: Appeals and Grievances, Po Box 366292 San Juan, Puerto Rico, 00936-6292 fax number: 787-999-9503 email: firstname.lastname@example.org
For members of First+Plus: Appeals and Grievances, Po Box 71114 San Juan, Puerto Rico, 00936-8014 fax number: 787-622-0485 email: email@example.com
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office of Civil Rights electronically though the Office of Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/looby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue SW. Room 509 F, HHH Building Washington DC 20201, 1-800-368- 1069, 800-537-7697 (TDD).
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. MMM Healthcare, LLC cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a MMM al 1-866-333-5470, (TTY: 1-866-333-5469); PMC al 1-866-516-7700 (TTY: 1-866-516-7701); y First+Plus al 1-888-767-7717 (TTY: 1-877-672-4242). MMM Healthcare, LLC遵守 用的 邦民 法律 定，不因 族 適聯權規種色、民族血 、年 、 障 或性 而歧 任何人。注意：如果您使用繁 中文，您可以免 得 言援助服 。 致 膚統齡殘別視體費獲語務請電MMM 1-866-333-5470, (TTY: 1-866-333-5469); PMC 1-866-516-7700 (TTY: 1-866-516-7701); First+Plus 1-888-767-7717 (TTY: 1-877-672-4242).
H4003-MMM Healthcare, LLC H4004-PMC Medicare Choice H7522-MMM Healthcare, LLC Y0049_2018 4006 0001 1 CMS Approved 10042017
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