HIPAA Notice of Privacy Practices
This Notice of Privacy Practices (the "Notice") describes the privacy practices of Luscinia Health and how Luscinia Health
may use and disclose your protected health information to process and identify your pharmacy-related benefits, payments,
and other purposes that are required by applicable law. Please review it carefully.
Protected Health Information ("PHI") is information about you that we obtain to provide our services to you and that can
be used to identify you. It includes your name, basic contact information, and information about your prescriptions. We take
our responsibility to protect this information very seriously.
We are required by law to protect the privacy of your PHI and to provide you with this Notice explaining our legal duties
and privacy practices regarding your PHI. This Notice also describes your rights and the obligations we have regarding the
use and disclosure of your PHI. Under federal and applicable state law, we are required to follow the terms of the Notice
currently in effect. We are required to follow state privacy laws when they are stricter (or more protective of your PHI)
than the federal law.
Our responsibility to protect your privacy
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We are required by law to maintain the privacy and security of your PHI.
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We will let you know promptly if a breach occurs that may have compromised the privacy or security of your PHI.
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We must follow the duties and privacy practices described in this notice and give you a copy of it.
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We will not use or share your PHI other than as described here unless you tell us we can in writing. If you tell us we can,
you may change your mind at any time. Let us know in writing if you change your mind.
Our Uses and Disclosures of your PHI
We typically use your PHI in the following ways:
Run our organization
We can use your health information to run our health care operations and contact you when necessary.
Example: We use your personal health information to manage your use of our services.
Business associates
We can share your PHI with our business associates as they assist us in providing our service to you.
Example: We use contractors to provide certain services for us, such as [vendor] for [vendor purpose]. These contractors
are required by law and by their agreements with us to protect your PHI in the exact same way we do.
Public health and safety issues
We may share PHI about you for certain situations as required to protect public health and safety. We have to meet many
conditions in the law before we can share your PHI for these purposes. Examples include:
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Preventing disease
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Helping with product recalls
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Reporting adverse reactions to medications
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Reporting suspected abuse, neglect, or domestic violence
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Preventing or reducing a serious threat to anyone's health or safety
Comply with state or federal Law
We will share PHI about you if state or federal laws require it, including with the Department of Health and Human Services
if it wants to see that we're complying with federal privacy law. Examples include:
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For law enforcement purposes or with a law enforcement official
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With health oversight agencies for activities authorized by law
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For special government functions such as military, national security, and presidential protective services
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In response to a court or administrative order, or in response to a subpoena
Your Rights
You have certain rights regarding your PHI.
Get an electronic or paper copy of your medical record
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You can ask to see or get an electronic or paper copy of your medical record and other PHI we have about you. Contact us
at support@refillwise.com
or at the address at the bottom of this page to make this request.
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We will provide a copy or a summary of your PHI within 30 days of your request.
Ask us to correct your medical record
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You can ask us to correct PHI about you that you think is incorrect or incomplete. Contact us at
support@refillwise.com
or at the address at the bottom of this page to make this request.
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We may say "no" to your request, but we'll tell you why in writing within 30 days.
Request confidential communications
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You can ask us to contact you in a specific way, for example, only your home or office phone.
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We will respond and accommodate all reasonable requests.
Ask us to limit what we use or share
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You can ask us not to use or share certain PHI for our health care operations or other purposes.
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We are not required to agree to your request, and we may say "no" and not be able to offer you our products.
Get a list of those with whom we've shared information
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You can ask for a list (legally called an “accounting”) of the times we've shared your PHI for six (6) years prior to the
date you ask, who we shared it with, and why.
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We will include all the disclosures except for those about our health care operations and certain other disclosures (such
as any you asked us to make). We'll provide one accounting per year for free but will charge a reasonable, cost-based fee
if you ask for another one within twelve (12) months.
Get a copy of this privacy notice
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You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We
will provide you with a paper copy promptly.
Choose someone to act for you
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If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your
rights and make choices about your health information.
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We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
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You can complain if you feel we have violated your rights by contacting us using the information at the address at the bottom
of this page.
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You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter
to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
www.hhs.gov/ocr/privacy/hipaa/complaints/.
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We will not retaliate against you for filing a complaint.
You may contact Luscinia Health by mail at the following U.S. postal address.
Luscinia Health
Attn: Privacy Officer
9070 Gleannloch Forest Dr
Spring, TX 77379