Your Child’s Rights as a Member

Your Child's Rights   |   You Can File a Complaint or Grievance For Your Child
You Can Accept or Refuse Treatment For Your Child   |   Confidentiality and Disclosure of Medical Information

Rights -

Protection of Privacy in All Settings

Keystone has taken numerous steps to see that your child’s personal information is kept confidential and to prevent the unauthorized release of, or access to, your child’s personal information.

Inclusion in Routine Consent

As more fully described in this section, by enrolling in this program, you give consent to Keystone to maintain and release your child’s medical records, claims-related information, and health and related information for the purposes identified below. All of your child’s records and information can be maintained and released, even if the records or information is about drug or alcohol abuse or addiction, mental health treatment, HIV, an HIV-related illness, or AIDS. Any of your child’s diagnoses, any of your child’s prognoses, any services your child receives, the cost of any of your child’s services, and any insurance claims you file on behalf of your child can be maintained and released (these are just some examples).

The records and information can be maintained and released for the direct or indirect purposes of: providing or paying for health care or services related to your child’s health insurance; performing Keystone’s obligations under your child’s health insurance or assisting Keystone in doing so; granting requests made pursuant to law, legal proceeding, or court order; granting requests or meeting requirements of government, regulatory, peer review, oversight, or accrediting bodies or any of their representatives; complying with law; or for purposes connected thereto. The records and information can be released orally, by letter, by facsimile, electronically, or in any other way possible, and can be maintained on paper, electronically, or in any other way possible. The records and information can be released: to persons connected with providing health care or services related to your child’s health insurance; to persons providing stop-loss insurance or reinsurance; to persons under subcontract with Keystone or to subsidiaries affiliates of Keystone; to persons requesting the records or information pursuant to law, legal proceeding, or court order; or to government, regulatory, peer review, oversight, or accrediting bodies or any of their representatives.

Use of Measurement Data

At times Keystone may utilize membership data to develop or enhance health benefits. Patient identity will be kept anonymous whenever possible.

The records and information can be maintained and released as soon as your child is enrolled in CHIP. Records and information can be maintained and released in the future, too, as long as the maintenance and release is for one or more of the above-stated purposes.

Access to Medical Records

Upon your request, Keystone will provide you with a summary of any of your child’s personally identifiable information maintained by Keystone. At any time, you may request that Keystone modify, correct, change or update your child’s personally identifiable information that Keystone maintains by contacting Keystone by postal mail, e-mail, or telephone.

Right to Approve Release of Information

In certain circumstances, where required by law to release unique member health information, Keystone will first ask for your consent before releasing your child’s information. If you give consent for us to release your child’s information, you have the right—at any time—to revoke your consent (except to the extent we relied on the consent while it was in effect).

When the plan needs to obtain consent for the release of personal health information, authorization of care and treatment, or access to information from a CHIP member, the plan will obtain consent from the parent, legal guardian or other individual with appropriate legal authority to make decisions on behalf of the member.

	NOTE: This is a comprehensive consent related to Keystone maintenance and release of your child’s records and information. There are state and federal laws that apply to the maintenance and disclosure of certain medical records, claims-related information, and health and related information.