If you receive a statement from Columbus Urgent Care it is your responsibility to pay this amount. If you have any questions regarding your statement please feel free to call us at (402) 562-5400.
A flat fee you pay for certain covered services such as doctor visits or prescriptions. You can use money in your reimbursement account to pay this fee.
Your deductible is the amount you need to pay each year before your plan starts paying benefits.
A percentage of covered expenses you pay after you meet your deductible.
A group of health care professionals and facilities that offer discounts on services based on their relationship with your insurance company. Using in-network services gives you significant discounts.
Health care professionals and facilities that do not belong to your insurance companies network. Depending on your plan you can use out-of-network services, but you may pay more for the same services, and the money you spend will go to your out-of-network deductible which is separate from your in-network deductible.
Updated on 07/25/2023
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. You can get an electronic or paper copy of your medical record:
ASK US TO CORRECT YOUR MEDICAL RECORD
REQUEST CONFIDENTIAL COMMUNICATIONS
ASK US TO LIMIT WHAT WE USE OR SHARE
GET A LIST OF THOSE WITH WHOM WE’VE SHARED INFORMATION
GET A COPY OF THIS PRIVACY NOTICE
CHOOSE SOMEONE TO ACT FOR YOU
We will make sure the person has this authority and can act for you before we take any action.
FILE A COMPLAINT IF YOU FEEL YOUR RIGHTS ARE VIOLATED
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
In the Case of Fundraising:
Our Uses and Disclosures
HOW DO WE TYPICALLY USE OR SHARE YOUR HEALTH INFORMATION?
We typically use or share your health information in the following ways:
RUN OUR ORGANIZATION
BILL FOR YOUR SERVICES
HOW ELSE CAN WE USE OR SHARE YOUR HEALTH INFORMATION? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
HELP WITH PUBLIC HEALTH AND SAFETY ISSUES We can share health information about you for certain situations such as:
DO RESEARCH We can use or share your information for health research.
COMPLY WITH THE LAW We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
RESPOND TO ORGAN AND TISSUE DONATION REQUESTS
WORK WITH A MEDICAL EXAMINER OR FUNERAL DIRECTOR
ADDRESS WORKERS’ COMPENSATION, LAW ENFORCEMENT, AND OTHER GOVERNMENT REQUESTS We can use or share health information about you:
RESPOND TO LAWSUITS AND LEGAL ACTIONS
FOR MORE INFORMATION SEE: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
CHANGES TO THE TERMS OF THIS NOTICE
available upon request, in our office, and on our website.