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.
Who this Notice covers
This Notice is issued jointly by the professional entity identified below, through which independent licensed providers deliver clinical care, and by Everlon Health LLC, which operates the technology platform supporting that care and acts as a Business Associate ("we," "us," and "our"). The providers are independent contractors of the provider network and are not employees, agents, or contractors of Everlon Health LLC.
Everlon Health LLC operates the technology platform that supports these services, including dose reminders, refill nudges, and patient check-ins.
Covered Entity
the provider network, contact details available on request — the professional entity through which independent, licensed providers deliver the clinical care supported by the Everlon platform.
1. How We May Use and Disclose Your Protected Health Information
We may use and disclose your protected health information (PHI) — but not your "Highly Confidential Information," defined in §3 below — for the following purposes without your authorization:
- Treatment. We may use and disclose PHI to provide, coordinate, and manage your health care and related services.
- Health Care Operations. We may use and disclose PHI for our operational activities, including quality assessment, care coordination, and business planning.
- Appointment and Treatment Reminders. We (and our Business Associate on our behalf) may use and disclose PHI to send you reminders about appointments, medication refills, check-ins, or other health-related communications that support your treatment and care.
- Payment. We may use and disclose PHI to bill and collect payment for the services we provide.
- Required by Law. We may disclose PHI when required by federal, state, or local law.
- Public Health Activities. We may disclose PHI to public health authorities to prevent or control disease, injury, or disability.
- Health Oversight Activities. We may disclose PHI to health oversight agencies.
- Judicial and Administrative Proceedings. We may disclose PHI in response to court orders, subpoenas, or other lawful processes.
- Law Enforcement. We may disclose PHI to law enforcement officials under certain conditions.
- Workers' Compensation. We may disclose PHI to comply with workers' compensation or similar programs.
- Business Associates. We may share PHI with Business Associates and their subcontractors — including the technology platform and its vendors — who perform services supporting your care and are contractually required to protect your PHI.
2. Other Uses and Disclosures Requiring Authorization
- Marketing. Certain communications (such as refill reminders) may qualify as treatment or health care operations and do not require authorization. Any other marketing communications will require your written authorization.
- Sale of PHI. We do not sell your PHI, and we do not share your PHI with advertising platforms. Any sale of PHI would require your written authorization.
- Other Uses. Any other use or disclosure not described above will require your written authorization. You may revoke such authorization at any time, except to the extent we have already acted on it.
3. Your Highly Confidential Information
Federal and state law require special privacy protections for certain highly confidential information about you ("Highly Confidential Information"). This may include the subset of your PHI that is about:
1. mental health and developmental disabilities services; 2. alcohol and drug abuse prevention, treatment, and referral; 3. HIV/AIDS testing, diagnosis, or treatment; 4. sexually transmitted diseases; 5. genetic testing; 6. child abuse and neglect; 7. domestic abuse of an adult with a disability; or 8. sexual assault.
To disclose your Highly Confidential Information for any purpose other than those specifically permitted by law, we must have your written authorization.
Revoking an authorization. You may withdraw (revoke) any written authorization, including one regarding Highly Confidential Information, by delivering a written statement to the Privacy Officer identified below — except to the extent we have already acted in reliance on it. A revocation form is available on request.
4. Your Rights
You have the following rights regarding your PHI (subject to certain limitations):
- Right to request additional restrictions on uses and disclosures of your PHI for treatment, payment, and health care operations, and to people involved in your care. You have the right to request that we not disclose PHI to a health plan for payment or health care operations purposes where that PHI relates solely to an item or service you have paid for out of pocket in full — and, unless otherwise required by law, we must comply with that request. We are not required to agree to other restriction requests, but will attempt to accommodate reasonable ones.
- Right to receive confidential communications — we will accommodate reasonable written requests to receive your PHI by alternative means or at alternative locations.
- Right to inspect and obtain a copy of your PHI. If you request copies, we may charge a cost-based fee covering: (1) labor for copying; (2) supplies for a paper copy or electronic media; (3) postage, if you ask us to mail it; and (4) if you agree in advance, the cost of preparing a summary or explanation. Under limited circumstances we may deny access to part of your records.
- Right to request an amendment to your PHI. We will comply unless we believe the information is accurate and complete, or another exception applies.
- Right to receive an accounting of disclosures of your PHI for any period up to six years before your request. If you request an accounting more than once in a twelve-month period, we may charge a reasonable fee, and we will tell you the fee in advance so you can withdraw or modify the request.
- Right to receive a paper or electronic copy of this Notice on request.
5. Our Duties
We are required by law to maintain the privacy of your PHI, to provide you with this Notice, and to follow the terms of the Notice currently in effect. We will notify you following a breach of unsecured protected health information as required by law. We will not retaliate against you for filing a complaint.
6. Changes to This Notice
We reserve the right to change our privacy practices and the terms of this Notice. Any revised Notice will apply to all PHI we already have about you as well as any PHI we receive in the future. We will make the revised Notice available upon request and post it as required.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us at the contact information below or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Privacy Officer Contact
Privacy Officer, Everlon Health LLC — care@everlon.health · (818) 925-4114 · 2108 N St, Ste N, Sacramento, CA 95816 Covered Entity: the provider network, contact details available on request
Questions? Contact us at care@everlon.health.