Western Health Advantage respects your privacy and protects your electronic, written and oral health information throughout our organization. WHA has adopted privacy policies and practices covering the collection, use and disclosure of your information.  All staff must complete training on the legal and ethical obligations to protect the privacy of member information. Additionally, we limit physical access to the WHA facility and password protect our electronic databases and limit staff access to only the health information they need to do their job.

Protected Health Information (PHI)

PHI means personally identifiable information which relates to your physical or mental health or condition, the provision of health care to you and the payment for health care services.

To learn how we protect, use and disclose protected health information about our members, please review our Notice of Privacy Practices [Notificación de Privacidad].

As a plan member, you have rights relating to your PHI:

  • To authorize the release of your confidential information to someone else
  • To obtain a copy or request inspection, or both, of your PHI in one or more designated record sets maintained by WHA, as well as to request us to transmit a copy to a designated person or entity of your choice
  • To request that WHA send your sensitive information to a specific address or using a different communication method when disclosure of your information could endanger you by subjecting you to harassment or abuse
  • To ask us to limit what we use or share
  • To ask us to correct health and claims records
  • To get a list of those with whom we have shared information
  • To file a complaint if you feel your rights are violated

To exercise any of these rights, complete the applicable form that you will find on this page or the Member Downloads page.  You can send the completed form to the WHA contact information listed in the form.  Please use the form applicable to you as a commercial plan member or Medicare Advantage plan member.

Personal Information

Personal information is information that identifies, relates to, describes, is capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular individual or household.  This includes name, date of birth, email address, driver's license, IP address, geolocation, data.

To learn how we will use and disclose the personal information that visitors provide to us on our website, mobile app or via email, please review our Internet Privacy Practices [Prácticas de Privacidad en Internet].

We may disclose your PHI or personal information to third parties for reasons related to the operation of our business, including our participation in organized health care arrangements, to help us maintain and operate our website and mobile app, or to provide you with services that you have requested.  In the event we provide PHI or personal information to these third parties, they are restricted from using this data for purposes other than as authorized or disclosed to/by WHA.

Your PHI or personal information may be stored in WHA databases or databases managed by third party service providers, which are located or accessed within and outside of the United States.  These databases may be located in or accessed from countries where privacy rules differ.  WHA requires that any third party provider storing or accessing data from an off-shore location have measures to protect the privacy and security of the data.

For questions, concerns, complaints or suggestions concerning WHA's Privacy Practices, please send an email to privacy@westernhealth.com or contact us by mail to:

Western Health Advantage
Attn: Privacy Officer
2349 Gateway Oaks Drive, Suite 100
Sacramento, CA 95833
Fax: 916.568.3182

To file a complaint about Western Health Advantage's privacy policies, procedures or actions, you may use the Privacy Complaint Form [Formulario de Quija de Privacidad]. Print the form, fill it in and send it to WHA at the address listed in the form.

Medicare Advantage

WHA has partnered with Providence Plan Partners (PPP) to bring 5-star customer service to WHA members.  PPP will support WHA by providing many back-office business functions and services to our Medicare Advantage plan members.

As part of this partnership, PPP granted to WHA the right to use certain application software modules that collect and use PHI or personal information from individuals who visit certain pages of our website or from plan members who create online portal accounts with us.

We will let you know when you are being transferred to a page hosted or controlled by PPP. To learn how PPP will use and disclose the information collected through the use of those pages or sites, please review PPP's Terms of Use and Privacy Statement.

 

Last review date: October 5, 2020

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