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How HIPAA Protects You

The Health Insurance Portability and Accountability Act (HIPAA) is designed to balance privacy, efficiency, and quality. A covered entity generally does not need your permission to share your protected health information (PHI) with another covered entity for treatment, payment, or healthcare operations, commonly referred to as TPO. For example, a doctor will generally not ask your permission before:

  • Sending your records to a second doctor for a second opinion (treatment);
  • Consulting with another health care provider regarding your medical status (treatment);
  • Asking TRICARE for reimbursement for the services you received (payment);
  • Sharing medical services provided for coverage and justification of charges (payment);
  • Reviewing your records to conduct MHS provider training programs, including certification and licensing (health care operations); and
  • Reviewing your records to see if your doctor followed protocol (health care operations).

However, HIPAA does give you the right to:

  • Learn how the Military Health System (MHS) will use and disclose your PHI;
  • Request to limit who can access your PHI;
  • Find out when a covered entity discloses your PHI to others;
  • Request to view and receive a copy of your PHI; and
  • Request to amend your PHI if incorrect or incomplete.

HIPAA also requires the MHS to:

  • Make sure your PHI is stored securely if maintained electronically;
  • Make sure your PHI is available when you need healthcare; and
  • Notify you if your PHI is lost or stolen.

You also may be interested in...

DoD Instruction 6025.18: Privacy of Individually Identifiable Health Information in DoD Health Care Programs

Policy

This Instruction reissues DoD Directive (DoDD) 6025.18 as a DoD Instruction in accordance with the authority in DoD Directive 5124.02. It also establishes policy and assigns responsibilities for implementation of the standards for privacy of individually identifiable health information in accordance with parts 160 and 164 of title 45, Code of Federal Regulations.

Health Affairs (HA) Policy 05-018, Expediting Veterans Benefits to Members with Serious Injuries and Illness

Policy

This Memorandum outlines the roles of the Department of Veterans Affairs (VA) and the Department of Defense (DoD) in identifying an initiative to expedite data exchange between the DoD and the VA for "seriously injured" members, and those members entering the Physical Evaluation Board Process. The goal is to assist the VA in its efforts to better ensure members are aware of their benefits and that these benefits start as soon as possible when the member is eligible.

DD Form 2871: Request to Restrict Medical or Dental Information Form

Form/Template
12/1/2003

This form is to provide the patient with a means to request a restriction on the use and disclosure of his/her protected health information.

DD Form 2870: Authorization for Disclosure of Medical or Dental Information Form

Form/Template
12/1/2003

This form is to provide the Military Treatment Facility/Dental Treatment Facility/TRICARE Health Plan with a means to request the use and/or disclosure of an individual's protected health information.

Military Treatment Facilities (MTF) Defense Health Agency (DHA) Health Insurance Portability and Accountability Act (HIPAA) Privacy Officers Appointment Request Letter and Roles & Responsibilities

Policy

This document outlines the roles and responsibilities for the HIPAA Privacy Officer.

Public Law 104-191

Policy

The purpose of this document is to amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.

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Last Updated: March 20, 2019
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