THIS NOTICE OF PRIVACY PRACTICES (“NOTICE”) DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED BY ZING HEALTH, INC. AND ITS AUTHORIZED
AGENTS (COLLECTIVELY, “ZING”, “WE,” OR “US”) AND HOW YOU CAN GET ACCESS TO THE
INFORMATION. PLEASE READ CAREFULLY.
YOUR Privacy is Important to US
We value our relationship with you. We respect your right to privacy, and we do everything we can
to protect the information provided to us on behalf of our members. We ask all employees to follow
our policies and procedures about member privacy and information sharing.
“Protected Health Information” or “PHI” includes any individually identifiable
information that is transmitted or maintained in any form or medium, that relates to the
past, present, or future physical or mental health condition of an individual, or the
provision or payment of health care to an individual that is created or received by a
health care provider, health plan, employer, or health care clearinghouse
We Protect our Member’s Privacy:
We restrict access to electronic PHI by using protected passwords when using
company information systems.
We do not leave member PHI open or in view at workstations when our
employees are not there. We lock up our member files before leaving the
We share member PHI with employees only as needed to provide services to the
Your Personal Health Information Rights Are Protected
The Health insurance Portability Act (“HIPAA”) is a set of federal regulations which
safeguard the privacy and security of your Protected Health Information and
establishes certain rights with respect to your Protected Health Information.
Get an electronic or
paper copy of your
You can ask to see or get a copy of your medical record and other Protected
Health Information we have about you. Ask us how to do this.
We will provide a copy or summary of your Protected Health Information,
usually within 30 days of your request. We may charge a reasonable costbased fee.
Ask us to correct your
You can ask us to correct Protected Health Information about you that you
think is incorrect or incomplete. Ask us how to do this.
We may say "no" to your request, but we'll tell you why in writing within 60
You can ask us to contact you in a specific way (for example, home or office
phone) or to send mail to a different address.
We will say "yes" to all reasonable requests.
Ask us to limit what
we use or share
You can ask us not to use or share certain Protected Health Information for
treatment, payment, or our operations. We are not required to agree to
your request, and we may say "no" if it would affect your care.
If you pay for a service or health care item out-of-pocket in full, you can ask
us not to share that information for the purpose of payment or our
operations with your health insurer. We will say "yes" unless a law requires
us to share that information.
Get a list of those with
whom we've shared
You can ask for a list (accounting)of the times we've shared your health
information for six years prior to the date you ask, who we shared it with,
We will include all the disclosures except for those about treatment,
payment, and health care operations, and certain other disclosures (such as
any you asked us to make). We'll provide one accounting a year for free but
will charge a reasonable, cost-based fee if you ask for another one within 12
Get a copy of this
You can ask for a paper copy of this Notice at any time, even if you have
agreed to receive the Notice electronically. We will provide you with a paper
Choose someone to act
If you have given someone medical power of attorney or if someone is your
legal guardian, that person can exercise your rights and make choices about
your health information.
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
You can complain if you feel we have violated your rights by sending a letter
to Zing Health Inc., Attn: Privacy Officer, 303 W. Madison St., Suite 800,
Chicago IL. 60606 or calling us at 1-844-919-4458.
You can file a complaint with the U.S. Department of Health and Human
Services Office for Civil Rights by sending a letter to 200 Independence
Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
We will not retaliate against you for filing a complaint.
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, let us know. Tell us what you want us to do, and we will follow your
Share information with your family, close friends, or others involved in your care
Share information in a disaster relief situation
Include your information in a hospital directory
Contact you for fundraising efforts
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:
Sale of your information
Most sharing of psychotherapy notes
In the case of fundraising, we may contact you for fundraising efforts, but you can tell
us not to contact you again.
Our Uses and Disclosures of Your Protected Health Information
We typically use and share your PHI in the following ways:
Treat you. We can use your PHI and share it with other professionals who are
Run our organization. We can use and share your PHI to run our organization,
improve your care and contact you when necessary.
Bill for your services. We can use and share your PHI as we pay for your health
How Else Can We Use and Disclose Your Protected Health
We are allowed or required to share your information in other ways- usually in ways
that can contribute to the public good, such as public health and research. These
ways are listed below:
Help with public health and safety issues
Comply with the law
Respond to organ and tissue donation requests and work with a medical examiner or funeral director
Address workers’ compensation, law enforcement, and other government request
Respond to lawsuits and legal actions.
We will not use or disclose your Protected Health Information for any purpose
not specified in this Notice without your written authorization. The written
authorization we obtain will specifically identify the particular purpose of the
use or disclosure, the information being used or disclosed, the person(s)
receiving the information, and the time frame that the authorization is valid. If
you give us your written authorization you may revoke it at any time, in which
case we will no longer use or disclose your Protected Health Information for
this purpose, except to the extent we have already relied on your authorization.
You are not required to sign an authorization form and we will not deny you
health services if you refuse to do so.
We are required by law to maintain the privacy and security of your Protected
We will let you know promptly if a breach occurs that compromised the privacy or
security of your unsecured PHI.
We must follow the duties and privacy practices described in this Notice and give
you a copy of it.
We will not use or share your PHI other than as described here unless you tell us
we can in writing. If you tell us we can, you may change your mind at any time.
Let us know in writing if you change your mind.
Our hours of operation: from October 1 – March 31, you can call us 7 days a week from 8:00 a.m. to 8:00 p.m. Central standard time. From April 1 – September 30, you can call us Monday through Friday from 8:00 a.m. to 8:00 p.m. Central standard time.
Zing Health is a Medicare Advantage plan with a Medicare contract. Enrollment in Zing Choice IL (HMO) depends on contract renewal.
Zing Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Please contact our Customer Service Department for additional information.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-946-4458 (TTY: 711)
Medicare beneficiaries may also enroll in Zing Health through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.
Out-of-network/non- contracted providers are under no obligation to treat Zing Health plan members, except in emergency situations.
Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
303 W. Madison Street, Suite 800 Chicago, Illinois 60606
Phone: 1-866-946-4458(TTY/TDD 711)
Website Material ID:
CMS Accepted 09/30/2019