Privacy Policy

Privacy Policy
HIPAA Compliant

HeyMedicaid Privacy Policy

Effective Date: January 1, 2025

Last Updated: December 15, 2024

1. Our Commitment to Your Privacy

At HeyMedicaid, we understand that your health information is deeply personal and sensitive. We are committed to protecting your privacy and ensuring that your Protected Health Information (PHI) and personal data are handled with the utmost care and security.

This Privacy Policy explains what information we collect, how we use it, who we share it with, and your rights regarding your information. We encourage you to read this policy carefully and contact us if you have any questions.

2. Information We Collect

Protected Health Information (PHI)

  • Medical history and diagnoses
  • Prescription medications and treatment plans
  • Insurance and Medicaid ID numbers
  • Healthcare provider information
  • Medical appointment records
  • Lab results and medical imaging
  • Mental health and substance abuse treatment records

Personal Information

  • Full name, date of birth, and Social Security Number
  • Contact information (address, phone, email)
  • Emergency contact information
  • Demographic information
  • Device identifiers and IP addresses
  • Location data (with your permission)
  • App usage and interaction data

Sensitive Categories

We may collect particularly sensitive information including HIV/AIDS status, genetic information, mental health records, and substance abuse treatment records. This information receives the highest level of protection under federal and state laws.

3. How We Use Your Information

Healthcare Operations

  • Verifying your Medicaid eligibility and benefits
  • Facilitating healthcare services and care coordination
  • Processing prior authorizations and claims
  • Connecting you with in-network providers
  • Managing prescription benefits
  • Providing appointment reminders and health notifications

Platform Services

  • Creating and managing your HeyMedicaid account
  • Providing customer support and responding to inquiries
  • Improving our services through analytics (de-identified data)
  • Sending important updates about your benefits
  • Preventing fraud and ensuring security
  • Complying with legal and regulatory requirements

4. When We Share Your Information

With Your Consent

We share your information when you explicitly authorize us to do so, such as when you request us to send your records to a specific provider or family member.

For Treatment, Payment, and Healthcare Operations

As permitted by HIPAA, we may share your PHI with healthcare providers for treatment purposes, with insurance companies for payment processing, and for essential healthcare operations.

Business Associates

We work with carefully selected third-party service providers who help us operate our platform. All business associates sign agreements requiring them to protect your information in accordance with HIPAA.

Legal Requirements

We may disclose information when required by law, such as in response to a court order, subpoena, or to report suspected abuse, neglect, or domestic violence.

5. Your Privacy Rights

Under HIPAA and state privacy laws, you have important rights regarding your health information:

Right to Access

Request copies of your health records and information we maintain about you

Right to Amend

Request corrections to inaccurate or incomplete health information

Right to Accounting

Receive a list of certain disclosures of your health information

Right to Restrict

Request limitations on how we use or share your health information

Right to Confidential Communications

Request that we contact you in a specific way or at a specific location

Right to Delete (where applicable)

Request deletion of certain personal information, subject to legal retention requirements

To exercise any of these rights, please contact our Privacy Officer at privacy@heymedicaid.com or call 1-800-MEDICAID.

6. How We Protect Your Information

We implement comprehensive security measures to protect your information:

Technical Safeguards

  • 256-bit AES encryption at rest
  • TLS 1.3 encryption in transit
  • Multi-factor authentication
  • Regular security audits
  • Intrusion detection systems

Administrative Safeguards

  • HIPAA-trained staff
  • Role-based access controls
  • Regular privacy training
  • Incident response procedures
  • Business associate agreements

7. Data Retention and Deletion

We retain your health information for as long as required by federal and state laws, typically a minimum of six years from the date of last service. After this retention period, we securely destroy your information using industry-standard methods.

You may request deletion of certain personal information that is not subject to legal retention requirements. However, we must maintain health records as required by HIPAA and state regulations.

8. Children's Privacy

HeyMedicaid may be used by minors aged 13-17 with parental consent. For children under 13, a parent or guardian must create and manage the account. We comply with the Children's Online Privacy Protection Act (COPPA) and obtain verifiable parental consent before collecting information from children under 13.

9. State-Specific Privacy Rights

StateAdditional Rights
CaliforniaRight to opt-out of sale, right to non-discrimination, right to know categories
VirginiaRight to opt-out of targeted advertising and profiling
ColoradoRight to opt-out of profiling, right to data portability
ConnecticutRight to correct inaccuracies, right to opt-out of profiling

10. Updates to This Policy

We may update this Privacy Policy from time to time to reflect changes in our practices or legal requirements. We will notify you of any material changes through the app, email, or by posting a notice on our website. Your continued use of HeyMedicaid after changes indicates your acceptance of the updated policy.

Contact Our Privacy Team

Privacy Officer

HeyMedicaid, Inc.
Attn: Privacy Officer
PO Box 1234
San Francisco, CA 94102

Contact Methods

Email: privacy@heymedicaid.com
Phone: 1-800-MEDICAID
HIPAA Hotline: 1-800-HHS-TIPS
Online Form: heymedicaid.com/privacy

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