Compliance and Privacy

Mountain Health CO-OP Compliance Program

Mountain Health CO-OP is committed to observing the highest standard of business ethics and integrity, and to consistently and fully comply with all laws and regulations governing our business operations as a private, nonprofit Consumer Operated and Oriented Plan (CO-OP). 

Our Mission: We offer non-profit member-governed health insurance that promotes member engagement and provides access to high quality medical care.

Our Vision: Champion a more innovative, member-centric healthcare delivery system by promoting the triple aim where providers are engaged to improve population health , improve individual healthcare, and control healthcare spending.

Our Core Values: Customer focus, Communication, Quality, Integrity, Responsibility, Respect, Credibility, Innovation, Teamwork.

Mountain Health CO-OP is membership-based and in order to maintain its federal tax exemption it must engage primarily in activities that accomplish one or more of its tax-exempt purposes. 

 

If you want more information about the CO-OP Compliance Program, contact: Compliance Officer, Mountain Health CO-OP, PO Box 5358, Helena MT, 59604. 

To report Compliance concerns, you may contact the Mountain Health CO-OP Compliance Officer or you may remain anonymous by reporting via Lighthouse Service, INC at:

Website: www.lighthouse-services.com/mhc

Toll-Free Telephone: 

Email: [email protected]  (must include company name with report)

Fax: (215) 689-2885 (must include company name with report)

 

Privacy Policy

This notice describes how Medical Information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Effective January 1, 2020.

Mountain Health CO-OP (the CO-OP) is required by law to maintain the privacy of all medical information within its organization; provide this Notice of Privacy Practices to all Policyholders and Certificateholders Persons; inform Policyholders and Certificateholders of our legal obligations; and advise Policyholders and Certificateholders of additional rights concerning their medical information. The CO-OP must follow the privacy practices contained in this notice and continue to do so until this notice is changed or replaced. 

The CO-OP reserves the right to change its privacy practices and terms of this notice at any time, provided applicable law permits the changes. Any changes made in these privacy practices will be effective for all medical information that is maintained including information created or received before the changes were made. All Policyholders and Certificateholders will be notified of any changes by receiving a new Notice of Privacy Practices. 

 

The CO-OP collects and maintains oral, written and electronic information to administer our business and to provide products, services and information of importance to members. We maintain physical, electronic and procedural security safeguards in the handling and maintenance of your information in accordance with applicable state and federal standards, to protect against risks such as loss, destruction or misuse.

The Notice of Privacy Practices describes how protected health information (PHI) may be used or disclosed by your health plan to carry out payment, health care operations and for other purposes that are permitted by law. This Notice of Privacy Practices also explains your health plan’s legal obligations concerning your PHI, and describes your rights to access, amend, and manage your PHI.

PHI is individually identifiable information, including demographic information, collected from your or created and received by a health care provider, a health plan, your employer, (when functioning on behalf of a group health plan), or a health care clearinghouse and that relates to: (i) your past, present, or future physical or mental health or condition; (ii) the provision of health care to you; or (iii) the past, present, or future payment for the provision of health care to you.

The Notice of Privacy Practices has been drafted to be consistent with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Any terms not defined in this Notice have the same meaning as they have in the HIPAA Privacy Rule. If you have any questions about this Notice or the policies and procedures described herein, please contact Mountain Health CO-OP Privacy Office at (406) 447-9510.

You may request a copy of this Notice of Privacy Practices at any time by contacting: Compliance Officer, Mountain Health CO-OP, PO Box 5358, Helena MT, 59604 or (406) 447-9510.

Website Privacy

This information applies only to information collected by this website. 

 

Mountain Health CO-OP is the sole owner of the information collected on this site. We only have access to or collect information that you provide to us voluntarily via email or other direct contact from you. We will use your information to respond to you regarding the reason you contacted us. We will not sell , rent or share your information with any third party outside Mountain Health CO-OP, other than to fulfill your request. 

 

Complaints, Questions, and Concerns

If you want more information concerning our privacy practices, or you have questions or concerns, please contact our Compliance Officer at Mountain Health CO-OP, PO Box 5358, Helena MT, 59604 or (406) 447-9510.


If you are concerned that: (1) the company has violated your privacy rights; (2) you disagree with a decision made about access to your medical information or in response to a request you made to Amend or restrict the use or disclosure of your medical information (3) to request that the company communicate with you by alternative means or at alternative location, please contact our Compliance Officer at Mountain Health CO-OP, PO Box 5358, Helena MT, 59604 or (406) 447-9510.  

You may also submit a written complaint to the U.S. Department of Health and Human Services. The address to file a complaint with the U.S. Department of Health and Human Services will be provided upon request. The CO-OP supports your right to protect the privacy of your medical information. There will be no retaliation in any way if you choose to file a complaint with Mountain Health Cooperative or with the U.S. Department of Health and Human Services.

 

Non Discrimination Policy

Discrimination is Against the Law Mountain Health Co-Op (“MHC”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MHC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. MHC:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as: 
    • Qualified interpreters 
    • Information written in other languages

If you need these services, contact MHC If you believe that MHC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

The University of Utah Health Plans, Attn: Appeals Committee Chairperson, 6053 Fashion Square Dr, Suite 110, Murray, UT 84107. Phone: 855-447-2900, 1-800-346-4128, https://app.secure.uuhsc.utah.edu/uhealthplans/forms/appeal.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.