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Issues with medical records privacy and BM

Elizabeth403's picture

DH and I were recently married. He is required by the divorce agreement to carry insurance on SD10. Because of this, I am now able to carry SD on my group insurance policy at work. It's great insurance and hopefully BM will now take SD to the doctor/dentist for braces and other things instead of telling SD that they "can't afford it." What is she doing with that CS anyway? That's a whole other topic.

Because DH has to provide health insurance for SD whether through himself or his spouse, we are required to give BM an insurance card. This insurance card has my name on it. I don't like that. I wish the insurance company could put SD's name on it, but they can't. That's not the issue.

The issue is this. BM has tried to pry into my business before in various ways. This will be no different. In order to find out information about claims and such when placing a call to the insurance company, you are to provide the insured's date of birth, phone number and street address. This is all that is used to identify you. BM knows all of this about me. She can easily call and find out whatever she wants to about my health records. I understand she will call for her daughter and I want her to be able to do that. I don't want her to be able to find out info on me in the process.

I expressed this concern to my insurance company and was told to fill out a "Restriction Request" form in which I specify that a password be required before information on me is given out. The request was denied.

I called the Privacy Office to find out why it was denied and never got a real clear answer. I was just told that they don't normally do that except in rare cases, but that there are other security measures in place to protect me. The Privacy Office said that in order for a person to obtain medical information about me, they must provide 2 out of the following 3: EXACT date of service, physician's name, or amount of the claim. I knew that BM would possibly know an approximate date of service (if SD were to mention that I had been sick), but most likely never an exact date, so I felt a little better.

I decided to place some calls to the insurance company to test these security measures. Each time I called I gave my DOB, address and phone number, but only gave an approximate date of service. I even told them that I just couldn't remember the doctor's name or the exact date. With all 3 calls, I was able to obtain the exact date, the doctor's name AND a diagnosis. I have some health issues I don't want ANYONE knowing about, but now BM can find out.

So, I told the insurance company about these calls. They told me to fill out a complaint form. But that they still probably couldn't put any extra security measures on my account.

WTF??

In this day and age with privacy and identity theft on everyone's mind, they won't put a freaking password on my account? I don't get it. It's MY policy. Why won't they do what I want? It's a few keystrokes for them to put this into place.

I'm not sorry I put SD on my insurance because she needs the coverage, but I never thought getting my information secured would be a problem.

Any thoughts?

Comments

Justwantsomepeace's picture

Maybe your state insurance commission can help? I think they usually have a complaint process. I'd certainly be throwing HIPPA into the conversation with the insurance company.

I'm in the same situation, but we're custodial. So far, she has never needed the card so we've lucked out.

CaptainD's picture

^^^this!!^^^

I've gone to the insurance commissioner twice before over issues with my car insurance company. They take your complaints seriously and they fully investigate the matter. Do it!!

They forced my ins. Company to reimburse me for some money that I never would have seen otherwise.

caregiver1127.2's picture

Go to your company's HR department log in a complaint and explain the situation and tell them that you want them to do something about this password - I don't understand why they can't give you a password - have your company sort it out!!

somerg's picture

i didn't read all the responses, BUT from my experiences, if you don't want bm having a card with your name on it then you should probably remove the child from your insurance company. i understand your trying to do right by the child by doing that, however, as a bm myself, i can say that my ex also put a password on his insurance account and delayed giving me a card because smom's info was on it too, but all i had to do was e-mail/fax a copy of the decree/b certi and they cannot deny me (with or without) password info on my dd, even if THEY (ex and smom) take her in. i even got as far as the ins mailing ME cards directly instead of making me go through the ex--not normally done. and i don't have to tell smom or ex SQUAT and i don't

good luck

Elizabeth403's picture

Perhaps you misunderstood me or I'm misunderstanding you. I do not want to deny BM access to her daughter's insurance information. I want the password on my information and my husband's only. I am not the type of person who would deny BM the right to her daughter's health information. Thank you for your comment.

what-was-I-thinking's picture

Ugh I totally know your pain!! I carried insurance for the ungratful ss9 for 6 years. I thought I was doing good by getting him of the state health insurance. The lazy ungrafteful BM was furious that I put him on my insurance and she lost some of her free benefits. She tried to pull the same crap with my insurance company. I too tried to put a "restriction request", and the insurance company magically lost every request I sent. I couldn't understand how they would allow her access to my personal information as well as my daughters. I got tired of it & told DH I was dropping him from the ins. The CO said that they were to split the cost 50/50. Its her turn now. I'm done!

12yrstepmonster's picture

Maybe I am not deceitful enough- I've called on my exh insurance before and am barely able to get info about my dd's health claims.
Or maybe I just don't give a rats rear about him and his family-

So how is it that they are able to get the info? Just with your bday, your name and your address? Because I'm calling my insurance company Monday to see what I can do to make sure that BM can not access our information

However I am sure that she probably has ways anyway since she works in the medical field. I know for a fact that when family members have been taken into hospital she has gotten behind the scene information.

skylarksms's picture

I have the same issues as you do. My skids are ALSO on my insurance policy through work. My medical/dental/vision is about $1000 a MONTH less than NN's. Luckily, the insurance company just made a change, before the change, your policy number was YOUR SOCIAL SECURITY NUMBER!!

I've also had many problems with her going to the websites and creating accounts using my policy but HER information. So when I go to create my OWN profile, they say there already IS one and won't let me access the website for my OWN insurance! Grrrr.....