At Essence Healthcare, we know privacy is important to you. Privacy is one of your rights as a consumer as well as an Essence Healthcare member. It is also a right that you retain even when you are no longer a member of Essence Healthcare.
Essence Healthcare does not share your protected health information unless required or permitted by State or Federal Law. All protected health information is handled in accordance with Essence Healthcare’s Notice of Privacy Practices. We engage in training programs for our employees to ensure that they know the procedures they need to follow to make sure that your information, whether in oral, written, or electronic format, is secure and safeguarded. We will not sell, license, transmit or disclose personal information, outside of Essence Healthcare, unless it is expressly authorized by you; necessary to enable our contractors or agents to perform certain functions for us; or required or permitted by law. Personal information means data that is unique to an individual, such as name, address, social security number, or telephone number.
In addition to this Privacy Statement, Essence Healthcare’s Notice of Privacy Practices will give you more specific information and details about how we ensure the privacy of your protected health information. The Notice of Privacy Practices also provides details about how we will use and disclose protected health information. The Notice of Privacy Practices will also explain all the rights you have concerning the privacy of your health information and how you can exercise those rights. The Notice of Privacy Practices is available by clicking the link below.
Notice of Privacy Practices
Terms and Conditions
Essence Healthcare maintains physical, electronic, and procedural safeguards that comply with federal standards. Additionally, Essence Healthcare takes reasonable precautions to protect user information from unauthorized use or alteration. All data, correspondence, and responses that the user of the website provides will be handled confidentially, both online and offline. To protect from unauthorized access, data that you provide is safeguarded behind a secure firewall. Please note, users should be aware that there is always a risk in sending information over the Internet and data transmitted by e-mail is vulnerable to security breaches.
When you access Essence Healthcare’s website, we do not require you to register or otherwise provide any personal information, such as your name, social security number, or e-mail address. We may, however, monitor and record your usage of our website during your visit. We collect this information and use it to help make the website more consumer-friendly and efficient.
Essence Healthcare uses “cookie” technology to gather non-personal information. A “cookie” is a piece of data that a website can send to your browser while you are using the website. A cookie is not a computer program – it cannot read data from your computer, perform any action on your data, or embed commands in your computer. Cookies can keep track of which pages are used, the frequency they are used, and to enable certain features on this website. You may disable these cookies at any time by adjusting your browser preferences on your computer.
Informational Purposes Only
Essence Healthcare provides the information contained within this website for informational purposes only. No warranty is made that the information provided is error-free. The information contained within the web pages may be, at any time, outdated and may include inaccuracies and/or errors.
Visitors should not construe this information as an offer for medical services or as advice on medical treatments. The information presented is general in nature and is not a substitute for professional health care. Consult a physician or other qualified health care professional before making health related decisions.
The information presented by this website describes the products and services offered by Essence Healthcare. Some specific information may be provided but, overall, the information presented may not contain all the applicable terms, conditions, limitations, or exclusions necessary to fully describe the products and services.
Claims, Benefits and Medical Management
The information provided with our website does not represent a guarantee of coverage or specific payment. All health plan benefits are subject to the terms, conditions and limitations of the specific policy issued, including, but not limited to, eligibility, pre-certification, exclusions and limitations, and medically necessity requirements. For further information on a policy and its limitations, please contact our Customer Service Department.
Links to Other Sites
This website may provide links or references to other sites. These links are provided for your convenience and Essence Healthcare is not responsible for the content of these other sites, does not make any representations or gives any warranties with respect to any information contained in or at these other sites, and shall not be liable for any damages or injury arising from the content of these other sites. Essence Healthcare reserves the right to terminate any link at any time.
Notification of Changes
The materials, information and services provided on this website are provided “as is,” without any warranty of any kind, either expressed or implied, including, but not limited to, an implied warranty of merchantability, fitness of a particular purpose or infringement. There is no warranty that use of the website will be error-free or that it will not interfere with your use and enjoyment of other information or services.
If you have any questions concerning your right to the privacy and confidentiality of your personal information and data that has been entrusted to Essence Healthcare, please contact the Customer Service Department at the phone number on the back of your ID Card or as indicated on the website.
For specific inquiries about Essence Healthcare’s Privacy Statement or Notice of Privacy Practices, please direct them to:
HIPAA Privacy Officer
13900 Riverport Dr
Maryland Heights, MO 63043
Local: 314-209-2700 (TTY: 711)
Toll Free: 866-597-9560 (TTY: 711)
Essence Healthcare is an HMO plan with a Medicare contract. Enrollment in Essence Healthcare depends on contract renewal. All Essence plans include Part D drug coverage. To enroll, you must have both Medicare Parts A and B and reside in the Missouri counties of Boone, Jefferson, St. Charles, St. Louis or St. Louis City, or in the Illinois counties of Madison, Monroe or St. Clair.
You must continue to pay your Medicare Part B premium. Please note that enrollment is limited to specific times of the year. This information is not a complete description of benefits. Call 1-866-509-5398 (TTY: 711) for more information. Members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from Essence, neither Medicare nor Essence will be responsible for the costs.
For accommodations of persons with special needs at meetings call 1-866-509-5398 (TTY: 711).
Medicare beneficiaries may also enroll in Essence Healthcare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Essence Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-597-9560 (TTY: 711).
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Dzwoń pod numer 1-866-597-9560 (TTY: 711).