Health Data Rules and What They Do
Known as the Interoperability and Patient Access Rules, the new regulations have two goals:
- Update how health plans, providers, and patients share information.
- Let you decide who can see your health information.
What This Means for You
You control who can see your information. That includes health care claims, doctor visits, health care benefits, and more.
Why Share Your Data
It can help health plans and providers get on the same page. The new rule allows you to use apps to see data we have from providers. When they can freely — and safely — share data, it allows all parts of your care to work together. And that may help you get better care at lower costs.
Third parties may not be subject to HIPAA or other federal or state privacy laws. They may use your data in ways you don't know about or don't want. So take time to think about who you want to have access to it. Only share it with third parties that you trust.
Medica won't share your data unless you authorize it or unless otherwise required or permitted by law. If you ask Medica to share your data with a third party, Medica can no longer protect or control what happens to the shared data. We encourage you to read and understand the privacy policies of any third party before authorizing Medica to send your data to the third party.
Note: Not everyone can choose to share their health-care data.
You can choose to share your data if you have one of these health insurance plans:
- Individual and family
- Medicare Advantage
What You Need To Do
As you're using your favorite apps, you may be asked to share your health information. If you decide to share your information with any third-party apps, here's an easy process to let you choose when and where you want to share your health data.
- Step 1: Sign in to your Medica member account
- Step 2: Share your data through your third-party app
See where your data is being shared
- You can access your data-sharing preferences through the Help Center in the member portal navigation.
- Find the question, "How can I see which apps I'm sharing data with?"
- Then click on the "data sharing preference" link.
- This link will take you directly to the page where you can opt to stop sharing your data.
How an authorized personal representative can ask for access to health data
If you're an approved personal representative* for a member, you can set up an account to see their health data on any connected apps. It’s an easy two-step process. First, create a personal representative user account. Then call Member Services at 1 (800) 952-3455 (TTY: 711) to set up permissions.
*Before we can grant permission, we’ll need to make sure the correct forms are on file or confirm you’re an authorized family member. If you have questions, contact Member Services at 1 (800) 952-3455 (TTY: 711).
How to Stop Sharing Data
Your data will be shared for one year after authorizing the app. At one year, your data sharing will automatically stop. The apps will likely ask you if you'd like to continue sharing your data. At that time, you need to make a decision.
There are two ways to stop sharing your data:
- To stop sharing data with an app, simply go to your Medica.com account, find the data sharing page under My Account, and uncheck the permission sharing box. Once you save your changes, you're no longer sharing your health data. The change is immediate.
- You may also be able to stop data sharing via the third party app – each app will have a different method to stop sharing data.
If Medica has already shared data based on your authorization, your request to stop sharing will not work for data already shared.