Notice of Privacy Practices
This notice describes how your Protected Health Information (PHI) may be used and disclosed, your rights, and our responsibilities to protect this information. Your PHI is information that could be used to identify you as it relates to your past and present physical and mental health care services.
As part of the Health Insurance Portability and Accountability Act of 1996, known as HIPAA, Times Pharmacy has created this Notice of Privacy Practices (Notice). The HIPAA regulations require that Times Pharmacy protect the privacy of your PHI that Times Pharmacy has received or created. This Notice describes Times Pharmacy’s privacy practices and your rights related to your PHI.
Our Uses and Disclosures
We make reasonable efforts to limit the use, disclosure, or request of PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request. Here are examples of how we may use or share your PHI:
We use your PHI to fill your prescription and manage your health care.
We may share your PHI with other healthcare professionals who are treating you. For example, we may share information about your prescriptions with your physician.
We may share your PHI with Business Associates for services related to your health care. To ensure your PHI is protected, we require all Business Associates to adhere to HIPAA regulations.
For Healthcare Operations
We may share your PHI to conduct quality assessments to improve delivery of services.
We use and share your PHI to bill and receive payments from healthcare plans or other entities. For example, we share your PHI with your health insurance provider to receive payments for services rendered.
To Comply WithOrgan and Tissue Donation Requests
We may use and disclose your PHI, with a valid written authorization, for purposes of procurement, banking, transplantation of cadaveric organs, eye, and tissue for donation purposes.
To Contact & Inform You
We may use yourPHI to inform you about benefits and services.
To inform you of alternative treatment and/or products.
To send you fundraiser information.
You may request to opt-out of fundraising activities at any time.
To Coordinate Care for the Deceased
We may disclose PHI to a coroner or medical examiner to identify a deceased person, determine a cause of death or for other duties as authorized by law.
To Comply with the Law
We may disclose your PHI to law enforcement officials in compliance with and as required by applicable law.
For Public Health Activities
We may use or disclose your PHI to public health authorities authorized by law for purposes of preventing or controlling disease, injury, or disability. This includes the FDA for the monitoring of any adverse effects of drugs, food, nutritional supplements and other products as required by law.
We may share your PHI for research purposes in certain limited circumstances. We will obtain your written authorization to use your PHI for research purposes except when: (a) our use or disclosure was approved by an Institutional Review Board or a Privacy Board; (b) we obtain the oral or written agreement of a researcher that the information being sought is necessary for a research study.
For All Other Uses and Disclosures
Times Pharmacy will obtain a written authorization from you for all other uses and disclosures of your PHI. You may revoke such authorization at any time.
This section explains your rights related to your PHI. Please feel free to contact the Privacy Officer with questions, see contact information below.
To Obtain a Copy of Your PHI
You have the right to request access and/or obtain a copy of your PHI that is contained at Times Pharmacy. There may be a nominal fee for photocopying documents.
To Request Restrictions on Certain Uses and Disclosures of Your PHI
You have the right to request additional restrictions of Times Pharmacy’s uses and disclosures of your PHI. However, we have the option of denying such requests. For example, we will not agree to restrictions that may affect your care.
To Request Amendments to Your PHI
You may request an amendment to your PHI if you think it is incorrect or incomplete. We will make appropriate corrections within a reasonable amount of time. Under certain circumstances we may deny your request to amend your PHI. If your request is denied, you have the right to have the denial reviewed by another person, designated by Times Pharmacy, who was not involved in the initial review. You may also ask the Secretary of Health and Human Services (HHS), or their appropriate designee, to review the denial.
To Request to Have Your PHI Communicated to You By Alternate Means or Locations
You have the right to request that Times Pharmacy communicate confidentially with you using an address or phone number other than your primary residence. However, state and federal laws require Times Pharmacy to have an accurate address and home phone number on file in case of emergencies. Times Pharmacy will consider all reasonable requests.
To Receive Notification of a Breach
You have the right to receive notifications whenever a breach of your unsecured PHI occurs.
To File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with Times Pharmacy and/or with the Secretary of HHS. If you wish to file a complaint with Times Pharmacy, please contact the Privacy Officer, see contact information below. If you wish to file a complaint with the Secretary of HHS see instructions at:
Secretary of Health and Human Services
200 Independence Ave, SW
Washington, DC 20201
We are required by law to maintain the privacy and security of your PHI.
We are required to adhere to duties and privacy practices described in this notice.
We are required to provide you with a copy of this Notice upon request.
Catalina Cross, Privacy Officer
c/o Times Supermarket Pharmacy Admin.
1620 North School street
Honolulu, HI 96817