ACCESS HEALTH BENEFITS SOCIEDAD ANÓNIMA (“Sana Sana”)
PRIVACY POLICY NOTICE
THIS NOTICE APPLIES TO SANA SANA’S PRIVACY PRACTICES AND DESCRIBES HOW YOUR
PERSONAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET
ACCESS TO THAT INFORMATION. PLEASE READ IT CAREFULLY.
Dear User:
At Sana Sana we care about your privacy and the protection of your privacy rights. This notice addresses your privacy rights and how to obtain a copy of and access your personal information that we maintain on file. If you have questions about this notice, please call us at (506) 2103-0450.
Summary of Privacy Practices
We may use and disclose your personal information without your authorization, for matters related to your treatment, payment, health care operations, and, where required or authorized by law, for health and public interest activities, for law enforcement purposes, in judicial and administrative proceedings, for research purposes, and for certain activities of public benefit.
We may disclose your personal information to your family, friends, and others involved in your health care or payment for your health care, and also to relevant public and private agencies to provide disaster relief.
Outside of those exceptions, we will not use or disclose your personal information without your written authorization. You have the right to inspect and receive a copy of your personal information, receive an explanation of certain disclosures we may make of your personal information, and request that we amend your personal information, further restrict its use and disclosure, or confidentially communicate with you regarding it.
Please read this notice in its entirety for details about how we may use and disclose your personal information, about your rights and how to exercise them, and about complaints and additional information related to our privacy practices.
Our Legal Duty
Sana Sana utiliza numerosos métodos para proteger su información personal, sea esta información oral, escrita y electrónica, del uso o la divulgación ilegales. Por ley, estamos obligados a:
- Sana Sana uses numerous methods to protect your personal information, whether oral, written, or electronic, from unlawful use or disclosure. By law, we are required to:
- Maintain the privacy of your personal information.
- Provide you with this notification and follow the rules mentioned here.
- Inform you if we cannot agree to the limitation on how we share your information.
- To accept reasonable requests to communicate with you by alternative means or at alternative locations.
Sana Sana employees and providers in our network know that your information is private and confidential. We use training programs for our employees, and policies and procedures supervised by management to ensure that our employees are aware of the proceduresthey must follow to be sure that their information, whether in oral, written, or electronic format, is safe and secure
We reserve the right to change our privacy practices and the terms of this notice at any time, provided that such changes are permitted by applicable law. We reserve the right to have changes to our privacy practices and the new terms of our notice apply to all personal information we maintain, including health information that we created or received before we made the changes.
You may request a copy of our notice at any time. For more information about our privacy practices or to receive additional copies of this notice, please contact us using the information at the end of this notice.
Uses and Disclosures of Personal Information
We will use and disclose personal information about you for treatment, payment, and health care operations.
For example:
Treatment
We may disclose your personal information without your authorization to a physician or other health care provider to provide you with treatment.
Payment
We may use and disclose your personal information without your authorization to determine your eligibility, process claims, or make payments for covered services you receive under your benefit plan. In addition, we may disclose your personal information to a health care provider or other health plan in order for that provider or plan to obtain payment or for other payment activities.
Health Care Activities
We may use and disclose personal information about you without your authorization to perform health care- related activities.
We may disclose your personal information to another health plan or health care provider in accordance with privacy protection laws, so long as the plan or provider is or has been related to you and such information serves activities related to evaluating and improving the quality of health care of the plan or provider, for activities of evaluation and review of competencies and qualifications and for the detection and prevention of fraud and abuse.
Your Authorization
You may authorize us in writing to use your personal information or disclose it to anyone, for any purpose.
If you give us your consent, it may be revoked in writing at any time. Your revocation will not affect the use or disclosure that your authorization had permitted while it was in effect. Unless you give us your written authorization, we will not use or disclose your personal information for any purpose not described in this notice..
Family, friends, and others involved in your care or payment for your care: We may disclose your personal information to a family member, friend, or anyone else you involve in your health care or payment for your health care. We will only disclose personal information that is relevant to that individual’s participation.We may disclose your name, location, and general condition to notify or assist a relevant public or private agency in locating and notifying a person responsible for your health care in situations that warrant it, such as a medical emergency or during disaster relief efforts.
Before we make such a disclosure, we will give you the opportunity to refuse. If you are not present, are incapacitated, or are in an emergency or disaster relief, we will use our professional judgment to determine whether disclosing your personal information is in your best interest in such circumstances.
Health-related products and services and appointment reminders: We may contact you to remind you of appointments. We may use your personal information to communicate with you about and about health-related products, benefits, and services that we provide or include in our benefit plan and about payment thereof and regarding other treatment alternatives that may be of interest to you. Those communications may include information about health care providers in our network, replacements or upgrades to your health plan, and health-related products or services that are available only to our members and that add value to, even if not part of, our benefit plan.
Public Health and Public Benefit Activities: We may use and disclose your personal information without your authorization, when required or authorized by law, for the following types of health an public interest activities, judicial and administrative processes, law enforcement, research, and other activities of public benefit: for public health, including reporting of illnesses and vital statistics, child abuse, and adult abuse, neglect, or domestic violence; to avert a serious and imminent threat to health or safety; for health care oversight, such as as the activities of state insurance commissioners, licensing and peer review authorities, and fraud prevention agencies; for research; in response to court and administrative orders and other legal processes; to law enforcement officers with respect to victims of crime, crimes on our premises, reporting crimes in emergencies, and identifying or locating suspects or others; coroners, medical examiners, funeral homes, and organ procurement organizations for transplantation; the armed forces, federal officials for lawful intelligence, counterintelligence, and national security activities, and correctional institutions and judicial agents about persons under legal arrest; and as authorized by state workers’ compensation laws.
Individual rights
Access
You have the right to examine your personal information and receive a copy of it, with some limited exceptions. You must submit a written request to obtain access to your personal information. You must send your request to the contact address listed at the end of this notice. Use the contact information to get a form that allows you to make the request.
Amendment
You have the right to request that we amend your personal information. You must submit
your request in writing and must explain why the information should be amended. You must send your request to the contact address listed at the end of this notice. Use the contact information to get a form that allows you to make the request.
We can only refuse your request for certain reasons. If we deny your request, we will give you a written explanation. If we agree to your request, the amendment will become part of your personal information and we will take reasonable steps to inform third parties of the amendment who we know may have or rely on the unamended information to the detriment of you, as well as the individuals you wish to receive the amendment.
Restriction
You have the right to request that we restrict the use or disclosure of your personal information for treatment, payment, or health care-related operations, or to family, friends, or others you identify. We are not obliged to accept your request. If we accept it, we will be bound by that agreement, except in the event of a medical emergency or as required or authorized by law. You must send your request to the contact address listed at the end of this notice. Use the contact information to get a form that allows you to make the request. Any agreement relating to a restriction request must be in writing and signed by a person authorized to bind us to such agreement.
Confidential Communication
You have the right to request that communications with you or related to your personal information be kept confidential by sending them by alternative means or to alternative locations that you specify. You must submit your request in writing and state that the information could put you in danger if it is not communicated confidentially, as requested. You must send your request to the contact address listed at the end of this notice. Use the contact information to get a form that allows you to make the request.
We will comply with your request if it is reasonable, specifies alternative means or alternative location for disclosing confidential information, and continues to allow the collection of premiums and payment of claims for your health plan, including sending explanations of benefits to the health plan subscriber. Please note that an explanation of benefits and other health information we send to the subscriber about the health care you received for which you did not request confidential communications, or about health care received by the subscriber or by third parties covered by the health plan in which you participate may contain enough information to reveal that you obtained health care for which we paid, even if you have requested that we communicate with you confidentially regarding that health care.
Right to Obtain a Paper Copy
If you receive this notice on our website or via email, you have the right to receive this notice in writing. Please contact us using the information at the end of this notice to obtain this notice in writing.
Questions Complaints
If you would like to receive more information about our privacy practices or if you have questions or concerns, please contact us using the information at the end of this notice.
If you have concerns that we have violated your right to privacy or if you disagree with any of the decisions we make regarding access to your personal information, in response to a request from you to amend, restrict, or disclose your personal information, or confidential communication, you may file your complaint using the contact information at the end of this notice. We support your right to privacy of your personal information.If you choose to file a claim with us, we will not take any action against you.
Contact Information:
Sana Sana
Autopista Próspero Fernández
600 metros al este del Centro Comercial Multiplaza
Escazú, San José, Costa Rica
Attention: Legal Department