At Community Health Plan of Washington, we value the privacy and security of sensitive health information and take active steps to protect it.
Rights and Protected Health Information
Federal law gives members several rights concerning the health information on file about them. Members have the right to:
- Access the protected health information that Community Health Plan of Washington has about them.
- Ask us to change the protected health information Community Health Plan of Washington has about them.
- Ask for a list of the times over the past six years when we shared the member's protected health information with another person or organization.
- Ask for certain restrictions about how we share the protected health information.
- Ask us to change the member's contact information.
- Get a copy of our Notice of Privacy Practices.
To exercise most of these rights and access these forms, please visit our Member page.
Stopping Fraud, Waste and Abuse
Health care is a critical problem. Fraud takes money away from health care programs and makes it more difficult to pay for real, needed care. And often, it can be tied to increasing costs of medical care. We at Community Health Plan of Washington are dedicated to stopping health care fraud, waste, and abuse, but we can’t do it alone. You can help. Here are easy tips on how you can help stop fraud:
- Give your Community Health Plan of Washington ID card or your ID number only to a health care provider, clinic, or hospital.
- Give your ID only when you are getting care.
- Never let anyone borrow your Community Health Plan of Washington ID card.
- Never sign a blank insurance form.
- Always be ready to show picture ID when checking in for a medical appointment.
- Be careful about giving out your Social Security number.
Reporting potential fraud is also easy, and can even be done anonymously if you choose.
For our providers, we have developed a comprehensive training program they can access to learn how to stop, spot, and report fraud, waste and abuse.
Advance directives are written instruction, recognized under state law, that give instructions on how to provide health care when an individual is incapacitated. For the state of Washington, this written instruction takes the form of two documents:
- Health Care Directive (also known as a Living Will)
- Durable Power of Attorney for Health Care
When members enroll, Community Health Plan of Washington tells them, both verbally and in writing, of their right to make decisions about their care, their right to accept or refuse medical treatment, to make an advance directive, and to change or cancel it at any time.
Community Health Plan of Washington’s policy and procedure about advance directives is available in its Provider Manual.
Members can also call Customer Service for assistance regarding their rights and privacy:
- Medicare Members: 1-800-942-0247, 8 a.m. – 8 p.m., 7 days a week
- All Other Members: 1-800-440-1561, 8 a.m. – 5 p.m., Monday - Friday
- If you are hearing or speech impaired, please call TTY Relay: Dial 7-1-1