Restrictions on Certain Disclosures to Health Plans Clause Samples
The "Restrictions on Certain Disclosures to Health Plans" clause limits the circumstances under which protected health information can be shared with health insurance providers. Typically, this clause applies when an individual requests that specific medical information related to a particular treatment or service not be disclosed to their health plan, often after paying out-of-pocket for that service. By enforcing these restrictions, the clause helps protect patient privacy and autonomy, ensuring sensitive health information is not shared unnecessarily with insurers, thereby addressing concerns about confidentiality and potential misuse of personal health data.
Restrictions on Certain Disclosures to Health Plans. Business Associate shall not disclose PHI about an individual to a health plan for payment or health care operations purposes if the PHI pertains solely to a health care item or service for which the health care provider involved has been paid out of pocket in full and the individual requests such restriction in accordance with HIPAA and the HITECH Act, including 45 C.F.R. § 164.522(a). The term PHI, as used in this Section, only refers to PHI as defined in 45 C.F.R. § 160.103.
Restrictions on Certain Disclosures to Health Plans. Business Associate shall not disclose PHI about an individual to a health plan for payment or health care operations purposes if the PHI pertains solely to a health care item or service for which the health care provider involved has been paid out of pocket in full and the individual requests such restriction in accordance with HIPAA and the HITECH