SPECIAL NOTICES AND INFORMATION
The following are government-required notices and certifications:
• Women’ s Health Notice
• Health Care Reform Patient Protections
• HIPAA Privacy Notice
• Continuation Coverage Rights Under COBRA
• COBRA General Notice
• ACA Section 1557 Nondiscrimination Statement
• HIPAA Special Enrollment – Medicaid / CHIP
• Children’ s Health Insurance Program( CHIP) Notice Premium Assistance Under Medicaid and CHIP
• Paperwork Reduction Act Statement
Please review this document carefully— it contains important information about your employee benefits. Keep this document in a safe place in the event you need it in the future.
Women’ s Health Notice
The Airports Authority’ s medical benefits provide coverage for mastectomy-related services and conditions, including:
• Reconstruction and surgery to achieve symmetry between the breasts;
• Prostheses; and
• Complications resulting from mastectomy( including lymphedema).
This care is covered in the same manner as other medical care, and deductibles, copays and coinsurance may apply.
Health Care Reform Patient Protections
In the event your Airports Authority medical plan requires the designation of a primary care provider, you have the right to designate any primary care provider who participates in our network and who is available to accept you or your family members. Until you make this designation, the applicable Airports Authority medical benefits administrator may designate one for you. For information on how to select a primary care provider and for a list of the participating primary care providers, contact Member Services at the number shown on your medical ID card.
For children, you may designate a pediatrician as the primary care provider.
You do not need prior authorization from the applicable Airports Authority medical benefits administrator or from any other person( including a primary care provider) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals. For a list of participating health care professionals who specialize in obstetrics or gynecology, contact Member Services at the number shown on your medical ID card.
HIPAA Privacy Notice
The Health Insurance Portability and Accountability Act of 1996( HIPAA) and its implementing regulations impose new privacy and security requirements upon the use and disclosure of protected health information. Protected health information( PHI) is information created, received or maintained by the Airports Authority’ s group health plans that relates to an individual’ s physical or mental health or condition, the provision of medical care for that individual or the payment for that individual’ s medical care, which identifies or may be used to identify the individual to whom it relates. It’ s the policy of the Airports Authority to comply fully with HIPAA’ s requirements and to protect the privacy of such PHI.
Accordingly, all members of the Airports Authority’ s workforce who have access to PHI must comply with the Airports Authority policy and procedures on the use and disclosure of PHI.
This notice describes how protected health information about you and your family may be used and disclosed, and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact the Airports Authority’ s Privacy Officer.
PURPOSE The Airports Authority is committed to protecting health information about you and your family by ensuring that employees who have access to PHI comply with the privacy and security requirements of HIPAA. HIPAA’ s privacy regulations require the Airports Authority to keep PHI about you and your family private, to give you notice of our legal duties and privacy practices, and to follow the terms of this notice. This notice outlines uses and disclosures of PHI that may be made by the Airports Authority, as well as your individual rights and the Airports Authority’ s legal obligations with respect to PHI.
THE AIRPORTS AUTHORITY’ S LEGAL OBLIGATIONS The federal privacy regulations require us to keep PHI about you private, to give you notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect. We will also let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
PROTECTED HEALTH INFORMATION( PHI) PHI is information created, received or maintained by the Airports Authority’ s group health plans that relates to an individual’ s physical or mental health or condition, the provision of medical care for that individual or the payment for that individual’ s medical care, which identifies or may be used to identify the individual to whom it relates.
The Airports Authority’ s workforce includes employees, contractors, volunteers, trainees and other persons whose work performance is under the direct control of the Airports Authority. The term“ employee” includes all of these types of workers.
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION The following categories summarize ways that the Airports Authority may use and disclose PHI. Some of the categories include examples, but every type of disclosure in a category is not listed. The term“ you” generically refers to you and your family member( s). For a more detailed listing of uses and disclosures of PHI, please contact the Privacy Officer.
Except for the purposes described below and in the complete Privacy Practices and Procedures, we will use and disclose PHI only with your written permission. If you grant permission to use and disclose PHI for a purpose not discussed in this notice, you may revoke that permission, in writing, at any time by contacting the Privacy Officer.
In accordance with HIPAA, the Airports Authority may use and disclose PHI for the following purposes:
2025 BENEFITS DECISION GUIDE | 11