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Bookmark or Share- 190-Who must comply with HIPAA privacy standards - HHS.govHealth plans; Health care clearinghouses; Health care providers who conduct certain financial and administrative transactions electronically. These electronic transactions are those for which standards have been adopted by the Secretary under HIPAA, such as electronic billing and fund transfers.
- Pre-Existing Conditions - HHS.govUnder current law, health insurance companies can’t refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts. They also can’t charge women more than men.
- Model Notices of Privacy Practices - HHS.govThe options below are separated into two sets, for health plans and health care providers. Each set contains three formatted options and a text only option, in both English and Spanish. They are: Notice in the form of a booklet (preferred by consumers in focus testing);
- Lifetime & Annual Limits - HHS.govPreviously, health plans set a lifetime limit — a dollar limit on what they would spend for your covered benefits during the entire time you were enrolled in that plan. You were required to pay the cost of all care exceeding those limits.
- Business Associates - HHS.govDisclosures to a health plan sponsor, such as an employer, by a group health plan, or by the health insurance issuer or HMO that provides the health insurance benefits or coverage for the group health plan, provided that the group health plan’s documents have been amended to limit the disclosures or one of the exceptions at 45 CFR 164.504(f ...
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