PRIVACY STATEMENT

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Purpose of This Notice

This notice tells you about how United Therapies will use and disclose your medical information, which is termed “Protected Health Information”. Protected Health Information is health information that individually identifies you and that we create or receive from you or another health care provider, health plan or health care clearinghouse that relates to your past, present, or future physical or mental health or conditions, the provision of health care to you, or the past, present, or future payment for your health care. It tells you about your rights and our responsibilities to protect the privacy of your medical information. It also tells you how to submit a complaint to us or the government if you believe that we have violated any of your rights or any of our responsibilities.

We are required by law to maintain the privacy of your medical information, to notify you of our legal duties and privacy practices regarding your Protected Health Information, and to notify you if there is a breach (unlawful use or disclosure) of your Protected Health Information. We must present you with a copy of this notice and attempt to obtain your written acknowledgement of its receipt. We must follow the terms of this notice that are currently in effect.

We reserve the right to change the terms of this notice. A copy of the revised notice is available upon request, and will be posted at our centers and on our website. We may change our practices and those changes may apply to medical information we already have about you as well as any new information. This notice will be given to you on the date that you first receive medical products or treatment from United Therapies. In an emergency, we will give you the notice as soon as possible after the emergency treatment has been given.
How We Use or Disclose Your Medical Information

For Treatment

We will use your medical information to provide you with treatment and services. We may share this information with members of our healthcare staff or with others involved in your care such as doctors, nurses, or health care facilities. For example, a nurse who is providing your care will report any changes in your condition to your doctor.

For Payment

We may use or disclose your medical information to bill and collect payment for the services we provided to you. For example, we may need to give your health insurance plan information about your diagnosis, treatment and supplies used. We may also contact your insurance plan to confirm your coverage or to request prior approval for a planned treatment or service.

Health Care Operations

We may use or disclose your medical information for our operational purposes. For example, we may use your medical information to evaluate our services, including the performance of our staff in caring for you. We may also use this information to learn how to continually improve the quality and effectiveness of the health care services that we provide to you.

Your name and address may be used to send out patient satisfaction surveys.

There are some services that are provided to us by our business associates such as accountants, consultants and attorneys. Whenever we share information with our business associates we will have a written contract with them that requires that they protect the privacy of your medical information.
Appointment Reminders/Post-Treatment Follow up/Related Services

We may contact you either by telephone or by mail at your home or your office to remind you of an appointment that you have with us, to discuss pre-procedure requirements, to follow up the treatment postprocedure, or any other matter related to the health care services we provide or payment for your health care services. We may leave messages for you. If you want us to contact you in a certain way or at a certain location, see “Right to Receive Confidential Communications” in this notice.
Other Use and Disclosures of Your Medical Information

Treatment Alternatives – We may use and disclose your medical information to contact you about other health care treatment that is available to you. If you do not want to receive these communications, please notify our Privacy Officer in writing.

Health Related Benefits and Services – We may use and disclose your medical information to contact you about other health care benefits or services that may interest you. If you do not want to receive these communications, please notify our Privacy Officer in writing.
Uses or Disclosures of Your Medical Information for Which We Must Give You an Opportunity to Agree or Object

Individuals Involved in Your Care – We may disclose your medical information to a family member, other relative, close friend or any other person identified by you if they are involved in your care or payments related to your care. We may also use or disclose your medical information to notify those persons of your location, general condition or death. If you are present we may use or disclose your medical information if you agree or if we provide you with the opportunity to object and you do not object, or if you do not object and we can infer from the circumstances based on our professional judgment that you do
not object. If you are not present or if you are unable to object, we may disclose such information as is necessary if we determine it is in your best interest based on our professional judgment. For example, we may disclose your medical information in an emergency or to an individual who is responsible for your transportation home after treatment. If there is a family member, other relative or close friend to whom you do not want us to disclose your medical information, please tell our staff at the time you receive treatment and, in addition, please notify our Privacy Officer in writing.

Disaster Relief – We may use or disclose your medical information to an entity assisting in disaster relief efforts. This will be done to coordinate disaster relief efforts and to notify family members or others of your location, general condition or death in the event of a natural or man-made disaster.
Use or Disclosures That Are Required or Permitted by Law

Required by Law – We may use or disclose your medical information when we are required to do so by law.

Disaster Relief – We may use or disclose your medical information to an entity assisting in disaster relief efforts. This will be done to coordinate disaster relief efforts and to notify family members or others of your location, general condition or death in the event of a natural or man-made disaster.

Communicable Diseases – We may disclose your medical information to a person who may have been exposed to an infectious disease or who is at risk of spreading the disease or condition.

Public Health Activities – We may disclose your medical information for public health activities:  To prevent or control disease, injury or disability  To report child abuse or neglect;  To report reactions to medications or problems with products;  To notify people of recalls of products being used;  To notify person(s) or organization(s) required to receive information on FDA-regulated products; or,  To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.

Victims of Abuse, Neglect or Domestic Violence – We may disclose your medical information to a government agency if we believe you are the victim of abuse, neglect or domestic violence.

Health Oversight Activities – We may disclose your medical information to a health oversight agency. Oversight activities can include, for example, investigations, inspections and audits; civil, administrative, and criminal procedures or actions; or other activities necessary for the government to monitor government programs, compliance with civil rights laws and the health care system in general.

Food and Drug Administration – We may disclose medical information about you to monitor drugs or devices controlled by the Food and Drug Administration.

Legal Activities – We may disclose your medical information for monitoring of drugs or devices controlled by the Food and Drug Administration.

Judicial and Administrative Proceedings – We may disclose your medical information in the course of a judicial or administrative proceeding. We may disclose your medical information in response to a court or administrative order. We may also disclose your medical information in response to a discovery request, subpoena, or other lawful process by another party involved in the dispute, but only if we have determined that an effort has been made to inform you of the request or to obtain an order protecting the information the party has requested.

Plan Sponsors – We may use or disclose certain of your information to the plan sponsor (usually your employer) of a group health plan where appropriate.

Disclosures for Law Enforcement Purposes – We may disclose your medical information to law enforcement officials for law enforcement purposes:  As required by law.  In response to a warrant, summons court order, subpoena or similar legal process.  To identify or locate a suspect, fugitive, material witness or missing person.  When information is requested about an actual or suspected victim of a crime.  To report a death as a result of possible criminal conduct.  About crimes that occur on our premises.  To report a crime in emergency circumstances.

Workers’ Compensation – We may disclose your medical information to comply with workers’ compensation laws that provide benefits for work-related injuries or illnesses.

Public Health or Safety – We may use or disclose your medical information if we believe it is necessary to prevent a threat to the health or safety of a person or the general public.

Military – If you are a member of the Armed Forces, we may use and disclose your medical information to your military command.

National Security and Intelligence – We may disclose your medical information to authorized federal officials for national security and intelligence activities.

Inmates – We may disclose your medical information to a correctional institution or law enforcement official who has custody of you.

Research – We may disclose your medical information to researchers under certain limited circumstances.

Coroners, Health Examiners and Funeral Directors – We may release health information to a coroner or health examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release information about patients to funeral directors as necessary to carry out their duties.
Uses or Disclosures That Require Your Authorization

Other uses and disclosures not covered by this notice or laws that apply to us will be made only with your written authorization. You may revoke (cancel) an authorization at any time by notifying Our Privacy Officer in writing of your desire to revoke it. If you revoke an authorization, it will not have any effect on
information that we have already disclosed. Examples of uses or disclosures that require your written authorization include the following:

Most uses and disclosures of protected health for marketing purposes.

Disclosures that are the sale of medical information.

Disclosure of Highly Confidential Information for purposes other than treatment, payment, or health care operations, or as allowed or required by federal or state law.
Your Rights

The information contained in your health or medical record is the physical property of United Therapies. The information in it belongs to you. You have the following rights:

Right to Request Restrictions – You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your care, such as a family member or friend. We must honor that request.

You have the right to ask us not to use or disclose your medical information for a particular reason related to treatment, payment or our operations. For example, you can ask that you restrict a specified nurse from use of your information, or that we not disclose information to your spouse about treatment you had. We do not have to agree to your request. If we agree to your request, we must keep the agreement, except in the case of a medical emergency. Either you or United Therapies can stop a restriction at any time.

You have the right to ask us not to use or disclose your medical information for a particular reason related to treatment, payment or our operations. For example, you can ask that you restrict a specified nurse from use of your information, or that we not disclose information to your spouse about treatment you had. We do not have to agree to your request. If we agree to your request, we must keep the agreement, except in the case of a medical emergency. Either you or United Therapies can stop a restriction at any time.

You have the right to request and we must agree to restrict disclosure of your medical information to a health plan if the disclosure: (i) is for the purpose of carrying out payment or health care operations and the disclosure is not required by law, and (ii) the health information pertains solely to a health care item or service for which you or some other person (other than the health plan) has paid us in full.

All requests for restrictions on use or disclosure of your medical information must be made in writing to our Privacy Officer. In your request, you must tell us what information you want to limit and to whom you want the limits to apply; for example, use of any information by a specified nurse, or disclosure of specified treatment to your spouse.

Right to Receive Confidential Communications – You have the right to ask that we communicate with you in a certain manner or at a certain place. For example, you may request that we only contact you at work or by mail to a post office box. If you want to request confidential communications the request must be made in writing to our Privacy Officer. We must agree to your request if it is reasonable.

Right to Inspect and Copy Your Medical Information – You have the right to request to inspect and obtain a copy of your medical information. You must submit your request in writing to our Privacy Officer. If you request a copy of the information or that we provide you with a summary of the information we may charge a fee for the costs of copying, summarizing and/or mailing it to you.

If we agree to your request, we will tell you. We may deny your request under certain limited circumstances. If your request is denied, we will let you know in writing and you may be able to request a review of our denial.

Right to Request Amendments to Your Medical Information – You have the right to request that we correct your medical information. If you believe that any medical information in your record is incorrect or that important information is missing, you must submit your request for an amendment in writing to our Privacy Officer. Additionally, you must provide a reason that supports your request.

We do not have to agree to your request. If we deny your request, we will tell you why. You have the right to submit a statement disagreeing with our decision. We may deny your request if we determine that the information:  Was not created by us  Is not part of the medical information that we maintain  Is in records that you are not allowed to inspect and copy  Is already accurate or complete

Right to an Accounting of Disclosures of Health Information – You have the right to find out what disclosures of your medical information have been made. The list of disclosures is called an accounting. The accounting may be for up to six (6) years prior to the date on which you request the accounting, but cannot include disclosures before April 14, 2003.

We are not required to include disclosures for treatment, payment or healthcare operations or certain other exceptions. Requests for an accounting of disclosures must be submitted in writing to our Privacy Officer. You are entitled to one free accounting in any twelve (12) month period. We may charge you for the cost of providing additional accountings. If there will be a charge, we will notify you in advance.

Right to an Electronic Copy of Electronic Protected Health Information – If we maintain your medical information in electronic form, you have the right to receive an electronic copy of that medical information or have us transmit it to another individual or entity. We must provide it to you in the electronic form or format that you request if it is readily producible in such form or format. Otherwise it will be produced in a readable electronic form and format as agreed to by you and us.

Right to Obtain a Copy of the Notice – You have the right to request and get a paper copy of this notice. If we make any revisions to this notice, we will make a copy of the revised notice available to you.

You may also obtain a copy of this notice either from our website, www.unitedtherapies.com, or by requesting a copy of this notice be sent through electronic mail to our privacy officer, at privacyofficer@unitedtherapies.com If we know that the electronic message failed to be delivered, a paper copy of the notice will be provided. Even if you have received a notice electronically, you still retain the right to receive a paper copy upon request.

Federal and state laws also provide you with the right to be informed about and give your written authorization before any health information, including Highly Confidential Information, is disclosed, unless such disclosure is allowed or required by law. Examples of Highly Confidential Information are mental health treatment information, substance abuse prevention, treatment or referral; developmental disability services, HIV/AIDS testing and treatment, venereal disease treatment, sexual assault treatment, and testing and treatment for genetic disorders.

How to Exercise Your Rights

To exercise your rights under this notice, send a written request to our Privacy Officer at the address listed below. You may be asked to fill out a form that we will supply.

United Therapies Privacy Officer P.O. Box 2178 Des Plaines, IL 60017-2178 (847) 544-5867 privacyofficer@unitedtherapies.com
Complaints

You have the right to complain to us and to the United States Secretary of Health and Human Services if you believe we have violated your privacy rights. You will not be penalized for filing a complaint.

To file a complaint with us, contact our Privacy Officer by telephone, email or US Mail at the contact information above under the “How to Exercise Your Rights” section.

To file a complaint with the United States Secretary of Health and Human Services send your complaint to him or her in care of:

Office of Civil Rights U.S. Department of Health and Human Services 200 Independence Avenue, SW Washington, D.C. 20201 (202) 619-0257 or, (877) 696-6775 (toll free) or by visiting www. Hhs.gov/ocr/privacy/hipaa/complaints/

Questions and Information

If you have any questions or want more information about this Notice of Privacy Practices, please contact our Privacy Officer at the contact information above under “How to Exercise Your Rights” section of this notice.
Acknowledgement of Receipt of this Notice

We will request that you sign a separate form or notice acknowledging you have received a copy of this notice. If you choose, or are not able to sign, a staff member will sign his/her name, and date to document he/she made a reasonable effort to provide you with this notice. This acknowledgement will be filed with your records.

The revision dates of this privacy notice are April 14, 2003; June 9, 2011; September 23, 2013; and August 25, 2016.