Committed to Protecting Your Privacy
At United Concordia, we place the highest priority on the privacy of each of our members and we strive to protect that privacy.
As an Active Duty Dental Program (ADDP) member, it's important that you are aware of your privacy rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). These include the right to:
- Inspect and obtain a copy of your medical/dental records.
- Request restrictions to any part of your protected health information (PHI
- Request alternative means of communicating your PHI
- Request amendments to your PHI.
- Request a record of disclosures made of your PHI.
- File a written complaint if you feel your rights are violated.
PHI is any individually identifiable health information such as your date of birth, address, e-mail address or anything that may relate to your past, present or future physical or mental health.
Another important part of your privacy is the release of your PHI. United Concordia must follow HIPAA privacy rules when discussing your health information with your family members.
When your family members call United Concordia about a dental claim or other ADDP benefit issues on your behalf, our customer service representatives will be happy to assist them, but certain privacy practices must be followed first.
Generally, if someone calls United Concordia on your behalf, you will need to submit a Request and Authorization for Disclosure of Health Information form before the PHI can be released.
You can find this form by:
- Click on the "Active Duty Service Members" tab.
- Click on "Forms/Materials" in the left hand navigation column.
- Click on "HIPAA Release"
Note: If you have questions regarding submission of the HIPAA Release, please contact ADDP dental care finders at 866-984-ADDP (2337).
United Concordia is committed to protecting your health information. Submitting the Request and Authorization for Disclosure of Health Information form ensures that United Concordia has authorization to release specific information to the persons indicated on the form.
For more information on how the Military Health System may use and disclose your PHI, please review the Notice of Privacy Practices. To obtain a copy of the notice do one of the following:
- Contact your military treatment facility (MTF) HIPAA Privacy Officer or access your MTF Website.
- Access and print a copy from www.tricare.mil/Privacy.aspx.
Mail a written request to:
- Defense Health Agency
- Privacy Office
- Five Skyline Place
- 5111 Leesburg Pike, Suite 810
- Falls Church, VA 22041-3206