UNIVERSAL TERMS AND CONDITIONS

THIS IS A PERPETUAL, UNIVERSAL AND ALL INCLUSIVE RELEASE.

PLEASE READ THIS RELEASE AND TERMS AND CONDITIONS OF USE CAREFULLY

 

BEFORE USING THIS SITE. YOU ARE RELEASING YOUR RIGHTS TO HOLD VITALITY WELLNESS SOLUTIONS LLC, AND ANY AND ALL BUSINESSES AND PEOPLE ASSOCIATED WITH THE DAY TODAY AND LONG TERM BUSINESS OPERATIONS, ACTIVITY, SERVICES, PRODUCTS OF VITALITY WELLNESS SOLUTIONS LLC FROM ANY AND ALL LIABILITY WHATSOEVER, FOREVER, NEVER TO BE RELEASED WITH ANY CONTENT, OPERATION, FUNCTIONALITY, RELATED FUNCTIONALITY, SERVICE OR SERVICES, DIRECT OR DERIVATIVE SERVICES, PRODUCT OR PRODUCTS, ASSOCIATED WITH THIS WEBSITE MOBILE APP, PRINTABLE OR COPY-ABLE MATERIAL FROM, THROUGH, BY OR OTHERWISE ASSOCIATED OR ATTACHED TO VITALITY WELLNESS, ITS PARENT OR AFFILIATE BUSINESSES, EMPLOYEES, MANAGERS, OFFICERS, OWNERS, AND AFFILIATES.

BY USING THIS SITE YOU SIGNIFY YOUR ASSENT (AGREE, CONSENT, HAVE A FULL UNDERSTAND AND ACCEPT) THE TERMS AND CONDITIONS. IF YOU DO NOT AGREE TO THE TERMS AND CONDITIONS, DO NOT USE THIS SITE OR ANY OF ITS SERVICES OR PRODUCTS. YOU UNDERSTAND THIS SITE, VITALITY SOLUTIONS GROUP LLC, WWW.LIFESMARTWELLNESS.COM, OR RELATED ENTITIES DO NOT PROVIDE MEDICAL ADVICE.

Vitality Solutions Group, LLC ("LifeSmartwellness.com") may revise or update these Terms and Conditions at any time without prior or any notice. Your continued usage of the LifeSmartwellness.com website ("LifeSmartwellness.com Site," or the "Site,") will mean you accept any and all changes. This release may not be diluted, vacated, canceled or diminished in any capacity by any other clause in the Terms and Conditions. You are using this site at your own free will.

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

 

The records included in your LifeSmart Wellness Account and in the various LifeSmart systems on this system are YOUR copy of YOUR records, and are being maintained by YOU for YOU as a member of LifeSmart Wellness. These are YOUR COPIES and are NOT medical records stored or maintained for any single provider or practice. If you have any questions about this Notice please contact our Chief Operating Officer. For the Purpose of this Notice this information will be referred to as "Protected health Information" or "PHI". This Notice of Privacy Practices describes how we may use and disclose your protected health information to help providers carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time without prior notification, warning, or notice to anyone. Although the records on the LifeSmart System are held on your behalf, at your request and controlled by you, the new notice will be effective for all information that could be considered protected health information that is maintained at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices. You may request a revised version by accessing our website.

1. Uses and Disclosures of Protected Health Information

Your protected health information may be used and disclosed by your physician, their staff, our LifeSmart staff and others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of your physician’s practice, laboratory, or other facility .

Following are examples of the types of uses and disclosures of your protected health information that your physician’s office is permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office.

Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another provider. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. We will also disclose protected health information to other physicians who may be treating you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician.

Payment: Your protected health information will be used and disclosed, as needed, to obtain payment for your health care services provided by us or by another provider. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.

Health Care Operations: We may use or disclose, as needed, your protected health information in order to support the business activities of the providers practice or LifeSmartWellness.com business. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, fundraising activities, and conducting or arranging for other business activities.

We will share your protected health information with third party “business associates” that perform various activities (for example, billing or transcription services, specialist and other providers) for our business or events. Whenever an arrangement between our company and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. You may contact our Chief Operating Officer to request that these materials not be sent to you.

We may use or disclose your demographic information and the dates that you received treatment from your physician, as necessary, in order to contact you for fundraising activities supported by our office. If you do not want to receive these materials, please contact our Chief Operating Officer and request that these fundraising materials not be sent to you.

Other Permitted and Required Uses and Disclosures That May Be Made Without Your Authorization or Opportunity to Agree or Object

We may use or disclose your protected health information in the following situations without your authorization or providing you the opportunity to agree or object. These situations include:

Required By Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if required by law, of any such uses or disclosures.

Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. For example, a disclosure may be made for the purpose of preventing or controlling disease, injury or disability.

Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.

Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.

Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

Food and Drug Administration: We may disclose your protected health information to a person or company required by the Food and Drug Administration for the purpose of quality, safety, or effectiveness of FDA-regulated products or activities including, to report adverse events, product defects or problems, biologic product deviations, to track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.

Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), or in certain conditions in response to a subpoena, discovery request or other lawful process.

Law Enforcement: We may also disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes and otherwise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of our practice, and (6) medical emergency (not on our practice’s premises) and it is likely that a crime has occurred.

Coroners, Funeral Directors, and Organ Donation: We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.

Research: We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.

Workers’ Compensation: We may disclose your protected health information as authorized to comply with workers’ compensation laws and other similar legally-established programs.

Inmates: We may use or disclose your protected health information if you are an inmate of a correctional facility and your physician created or received your protected health information in the course of providing care to you.

Uses and Disclosures of Protected Health Information Based upon Your Written Authorization

Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose your protected health information for the reasons covered by your written authorization. Please understand that we are unable to take back any disclosures already made with your authorization.

Other Permitted and Required Uses and Disclosures That Require Providing You the Opportunity to Agree or Object

We may use and disclose your protected health information in the following instances. You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then your physician may, using professional judgement, determine whether the disclosure is in your best interest.

Facility Directories: Unless you object, we will use and disclose in our facility directory your name, the location at which you are receiving care, your general condition (such as fair or stable), and your religious affiliation. All of this information, except religious affiliation, will be disclosed to people that ask for you by name. Your religious affiliation will be only given to a member of the clergy, such as a priest or rabbi.

Others Involved in Your Health Care or Payment for your Care: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.

2. Your Rights

Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.

You have the right to inspect and copy your protected health information. This means you may inspect and obtain a copy of protected health information about you for so long as we maintain the protected health information. You may obtain your medical record that contains medical and billing records and any other records that your physician and the practice uses for making decisions about you. As permitted by federal or state law, we may charge you a reasonable copy fee for a copy of your records.

Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and laboratory results that are subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have a right to have this decision reviewed. Please contact our Chief Operating Officer if you have questions about access to your medical record.

You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or health care operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.

Your physician is not required to agree to a restriction that you may request. If your physician does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your physician.

You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing to our Chief Operating Officer.

You may have the right to have your physician amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for so long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact our Chief Operating Officer if you have questions about amending your medical record.

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to you if you authorized us to make the disclosure, for a facility directory, to family members or friends involved in your care, or for notification purposes, for national security or intelligence, to law enforcement (as provided in the privacy rule) or correctional facilities, as part of a limited data set disclosure. You have the right to receive specific information regarding these disclosures that occur after April 14, 2003. The right to receive this information is subject to certain exceptions, restrictions and limitations.

You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice electronically.

3. Complaints

You may contact our Chief Operating Officer at 732-955-7455 privacy (at) lifesmartwellness.com for further information about the complaint process.

BILLING AND EOB INFORMATION

LifeSmart Wellness is NOT a medical practice and does NOT Bill or Invoice attendees for services provided at a wellness event. The Laboratories and Healthcare Providers that participate at LifeSmart Wellness events are required by law to attempt to collect open balances. However, our participating Healthcare Providers and partner labs also know that financial hardships can happen to good people at any time. If you experience any hardship with a bill generated from participation in one of our events, do not hesitate to call the issuing provider to discuss your situation. We pride ourselves on partnering with Healthcare Providers and laboratories who would prefer to work with a client through a billing issue rather than engaging in aggressive collection practices.

To help navigate and communicate with providers and laboratories contact details are provided within the portal. You may also utilize the Benefits Concierge Connection within the portal.

BY SUBMITTING ANYTHING TO THE BENEFITS CONCIERGE PORTAL YOU AGREE TO ALL TERMS INCLUDING THE FOLLOWING

- You acknowledge that Benefits Concierge Connection is a free service made available to you to help you navigate questions and concerns about Billing, You acknowledge that this service is provided as a courtesy and may be discontinued at anytime. You also acknowledge that Benefits Concierge may require a fee to provide certain additional services.

NOTICE OF INDEMNIFICATION AND PRIVACY PRACTICES FOR BENEFITS CONCIERGE CONNECTION AND RELATED SERVICES THIS NOTICE DESCRIBES HOW MEDICAL BILLING INFORMATION YOU SUBMITTED FOR SERVICES MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THE BENEFIT CONCIERGE CONNECTION INFORMATION. PLEASE REVIEW IT CAREFULLY. The Benefits Concierge Connection and the third-party team that providers service through the Benefits Concierge Connection are made available to attendees of LifeSmart Wellness events and programs. This service is provided free of cost to you and is available on an opt-in basis. By submitting documents to the Benefits Concierge Connection, you are authorizing Benefit Concierge Connection third-parties to review all information related to those specific documents and services, including documents at the provider or laboratory location.

The Benefits Concierge team may contact the providers and laboratories that are related to the EOB, Invoice, Bill, Notice or any other document related to those services, INCLUDING BUT NOT LIMITED TO THOSE DOCUMENTS THAT WERE OR WILL BE SUBMITTED BY YOU. You agree to indemnify LifeSmart Wellness, Vitality Wellness Group and related entities, including the Benefits Concierge Team third-party provider and the platform technology provider from and any and all liability, loss or damage you may suffer as a result of claims, demands, costs or judgments against you arising out of the activities to be carried out pursuant to the obligations of the benefits Concierge. This policy is subject to changes by LifeSmart Wellness or Benefits Concierge Connection without notice. The Benefits Concierge Connection may be discontinued at anytime without notice. LifeSmart Wellness Copyright 2020.

 © 2019 LifeSmartWellness.com is a division of Vitality Wellness Group, LLC.  All rights reserved.