[PDF] Directory - Aetna Medicare

hospitals and other caregivers), payors (health careprovider organizations, employers who sponsor selffundedhealth plans or who share responsibility for thepayment of benefits, and others who may befinancially responsible for payment for the services orbenefits you receive under your plan), other insurers,third party administrators, vendors, consultants,government authorities, and their respective agents.These parties are required to keep personalinformation confidential as provided by applicable law.Participating network providers are also required togive you access to your medical records within areasonable amount of time after you make a request.Some of the ways in which personal information isused include claims payment; utilization review andmanagement; medical necessity reviews; coordinationof care and benefits; preventive health, earlydetection, and disease and case management; qualityassessment and improvement activities; auditing andanti-fraud activities; performance measurement andoutcomes assessment; health claims analysis andreporting; health services research; data andinformation systems management; compliance withlegal and regulatory requirements; formularymanagement; litigation proceedings; transfer ofpolicies or contracts to and from other insurers, HMOsand third party administrators; underwriting activities;and due diligence activities in connection with thepurchase or sale of some or all of our business. Weconsider these activities key for the operation of ourhealth plans. To the extent permitted by law, we useand disclose personalinformation as provided above without your consent.However, we recognize that you may not want toreceive unsolicited marketing materials unrelated toyour health benefits. We do not disclose personalinformation for these marketing purposes unless youconsent. We also have policies addressingcircumstances in which you are unable to giveconsent.To obtain a hard copy of our Notice of PrivacyPractices, which describes in greater detail ourpractices concerning use and disclosure of personalinformation, please write to Aetna's Legal SupportServices Department at 151 Farmington Avenue,W121, Hartford, CT 06156. You can also visit ourInternet site at www.aetna.com. You can link directlyto the Notice of Privacy Practices by Plan Type, byselecting the "Privacy Notices" link at the bottom ofthe page, and selecting the link that corresponds toyour specific plan.www.aetna.comXIII