NOTICE OF PRIVACY PRACTICES OF HY-VEE, INC.
THIS NOTICE DESCRIBES:
- HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
- YOUR RIGHTS WITH RESPECT TO YOUR HEALTH INFORMATION
- HOW TO FILE A COMPLAINT CONCERNING A VIOLATION OF THE PRIVACY OR SECURITY OF YOUR HEALTH INFORMATION, OR OF YOUR RIGHTS CONCERNING YOUR INFORMATION
- YOU HAVE A RIGHT TO A COPY OF THIS NOTICE (IN PAPER OR ELECTRONIC FORM) AND TO DISCUSS IT WITH OUR PRIVACY OFFICER. PLEASE USE THE CONTACT INFORMATION AT THE BOTTOM OF THIS NOTICE IF YOU HAVE ANY QUESTIONS.
Your Information. Your Rights. Our Responsibilities.
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. Hy-Vee, Inc. shall be referred to in this notice as “Provider” or "we," "us," or our."
Your Rights
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Provide pharmacy or provider information
- It is important to understand that the Provider will never market or sell your personal information without your authorization.
Provider Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Provide refill reminders
- Provide treatment alternatives and explanations of the health care services provided by the Provider
- Help with public health and safety issues
- Do research
- Comply with the law
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
- We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
- You can ask us to correct 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 days.
Request confidential communications
- 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 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 for example.
- 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 information
- You can ask for a list (accounting) of certain instances in which we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
- 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 months.
Get a copy of this privacy notice
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 copy promptly.
Choose someone to act for you
- 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 violated
- You can complain if you feel we have violated your rights by contacting the Provider’s Privacy Officer at using the contact information at the bottom of this notice.
- 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 www.hhs.gov/ocr/privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
Your Choices
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, talk to us. Tell us what you want us to do, and we will follow your instructions.
In the following situations, you have both the right and choice to tell us to:
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster relief situation
If you are not able to tell us your preference, 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 the following situations, we never share your information unless you give us written permission:
- Marketing purposes
- Sale of your information
Provider Uses and Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks us about your pharmacy prescriptions.
Run our organization
We can use and share your health information to run our pharmacy and dietician services, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
Bill for your services
We can use and share your health information to bill and get payment from health plans or other entities for the pharmacy or dietician services we provide.
Example: We give information about you to your health insurance plan so it will pay for your services.
Refill Reminders
We can use your health information to contact you by mail, email or phone to remind you that you have an upcoming prescription due for refill, unless you tell us otherwise in writing.
Example: We can send an electronic email reminder to the email address you provide us when it is time for you to refill a prescription.
Treatment Alternatives
We may use and disclose protected health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Example: We may provide information on lower cost generic drugs that are available to you
How else can Provider use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
Help with public health and safety issues
We can share health information about you for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
Do research
We can use or share your information for health research.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Provider’s Responsibilities
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- 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 information 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.
For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
Uses and Disclosures of Substance Use Disorder Records
How do we typically use or share Substance Use Disorder records?
We may use and disclose Substance Use Disorder (SUD) treatment records that we create, maintain, receive, or transmit in accordance with federal law, including 42 CFR Part 2.
Additional Protections for SUD Records
SUD records are subject to additional enhanced privacy protections under 42 CFR Part 2. In many situations, we may not use or disclose SUD information—even for certain purposes normally allowed under HIPAA such as treatment, payment, or healthcare operations—unless you provide written consent or another specific exception applies under federal law. If you have provided written consent for us to use or disclose SUD records for treatment, payment, and health care operations to the same extent the HIPAA regulations permit, such uses and disclosures are provided for in this notice.
Limitations on the Use and Disclosure of SUD Records
SUD records cannot be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or a court order that meets strict requirements under federal law. This prohibition applies even if we did not create the SUD records but received them from another provider.
Redisclosure of Information
42 CFR Part 2 allows entities who create, maintain, receive, or transmit SUD Records to obtain a single consent for all treatment, payment, and operation purposes. If we receive SUD records pursuant to such consent, we may further disclose those SUD records only subject to HIPAA except for the purpose of civil, criminal, administrative, or legislative proceedings against you without valid consent or a court order.
Your Rights Specifically Related to SUD Records
- Right to Receive Notice of SUD Privacy Protections
You have the right to receive clear information about additional protections for your SUD records, how they may be used or disclosed, and what your rights are under federal confidentiality laws.
- Right to Restrict Disclosures
You may request that we restrict the use or disclosure of your SUD records. While we are not always required to agree to requested restrictions, we will follow all legally required limitations on disclosure. To request that we restrict the use or disclosure of your SUD records, please contact us using the information listed at the end of this notice.
- Right to Opt Out of Fundraising Communications
If we intend to use SUD information for fundraising communications, you will have the right to opt out before receiving such communications. We will provide a clear and conspicuous option to decline future fundraising contacts involving any SUD-related information.
Our Responsibilities Related to Your SUD Records
We are required to:
- Maintain the confidentiality of SUD records in accordance with HIPAA and 42 CFR Part 2.
- Comply with stricter protections when they apply.
- Notify you of your enhanced privacy rights and our legal duties relating to SUD information.
- Include all additional required privacy protections in this notice.
If we receive SUD records from another provider—such as during coordination of care, referrals, or medical history review—we must continue to safeguard those records under the same heighted federal protections.
This section of our Notice of Privacy Practices reflects the requirements of the 2025 Final Rule aligning HIPAA with 42 CFR Part 2, with a compliance deadline of February 16, 2026.
Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request and on our website.
- Effective date: 8-17-26
- Name or title of the privacy official, email address and phone number: