


Aetna Banner, AZ
Privacy Policy & Notice of Privacy Practices
Effective Date: July 9, 2026
Last Updated: July 9, 2026
Practice Name: Lunaris Health PLLC
This document contains two parts: Part 1 details our Website Privacy Policy required for online marketing and Google Ads compliance. Part 2 constitutes our formal HIPAA Notice of Privacy Practices regarding your Protected Health Information (PHI).
PART 1: Website Privacy Policy (Google Ads & Marketing Disclosure)
Lunaris Health PLLC is committed to protecting the privacy of visitors to our website and individuals who utilize our online booking services. This section explains how we collect, use, and safeguard personal information collected through our digital landing pages.
1. Information We Collect
When you use our online intake and appointment booking forms, we collect the following personal and sensitive information:
-
Identity & Contact Data: First name, last name, date of birth, phone number, email address, and home/billing address.
-
Documentation & Verifications: Uploaded digital images of your government-issued photo identification (Driver's License or State ID) and the front and back of your health insurance card.
-
Appointment Preferences: Your requested date, time, and reason for scheduling a telehealth visit.
2. How We Use Your Information
The personal data and files you submit via our secure web forms are used strictly for administrative and pre-clinical verification purposes, including:
-
Verifying your identity to prevent medical fraud.
-
Confirming your health insurance network eligibility and coverage specific to the Aetna Banner Arizona network.
-
Scheduling and coordinating your virtual primary care appointment.
3. Data Security & Storage
We utilize secure, HIPAA-compliant data collection infrastructure provided by Wix, backed by an executed Business Associate Agreement (BAA). All personal data and uploaded documents are encrypted during transmission and securely stored to prevent unauthorized access. We do not sell, rent, or trade your personal information to third parties.
4. Cookies, Analytics, and Tracking Technologies
To measure the effectiveness of our marketing and ensure a seamless user experience, this website utilizes tracking tools, including Google Analytics and Google Ads conversion tracking tags.
-
These technologies deploy cookies to collect non-personally identifiable information about how visitors interact with our page (e.g., ad clicks, page views, and form submissions).
-
This data helps us optimize our advertising performance. You can manage or disable cookie preferences directly through your web browser settings.
PART 2: HIPAA Notice of Privacy Practices (Federal Medical Disclosure)
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.
As a healthcare provider, Lunaris Health PLLC is designated as a "Covered Entity" under the Health Insurance Portability and Accountability Act (HIPAA). The information you submit to book an appointment—including your identity details and health insurance card—is classified as Protected Health Information (PHI).
1. Uses and Disclosures for Treatment, Payment, and Healthcare Operations
We may use and disclose your PHI for the following core purposes without requiring your specific written authorization:
-
Treatment: We use your information to provide, coordinate, and manage your telehealth primary care and women's health services.
-
Payment: We use and disclose your insurance card images and demographic details to communicate with your insurance carrier (Aetna Banner Arizona) to verify your telehealth benefits, determine co-pays/deductibles, and submit medical claims for reimbursement.
-
Healthcare Operations: We may use your information to conduct internal quality assessments, provider reviews, and general administrative operations for our practice.
2. Our Legal Duties
Lunaris Health PLLC is required by federal and state law to:
-
Maintain the privacy and security of your Protected Health Information.
-
Provide you with this notice of our legal duties and privacy practices concerning your information.
-
Abide by the terms of the notice currently in effect.
-
Notify you promptly in the highly unlikely event of a data breach that compromises the privacy or security of your unencrypted PHI.
3. Your Patient Rights
Once you engage our practice for care, you hold the following rights regarding your protected data:
-
Access to Records: You have the right to inspect and receive an electronic or paper copy of your medical and billing records.
-
Restrict Disclosures: You have the right to request restriction on certain uses and disclosures of your PHI. If you pay for a service entirely out-of-pocket, you have the right to request that we do not disclose information about that service to your health insurance plan.
-
Amendment: You can request that we amend health information about you that you believe is incorrect or incomplete.
-
Accounting of Disclosures: You have the right to request a list (an accounting) of certain instances where we have shared your PHI for reasons outside of treatment, payment, or operations.
-
Choose Communication Channels: You have the right to request that we contact you in a specific way (e.g., home vs. cell phone) or send mail to a specific address.
4. Complaints
If you believe your privacy rights have been violated, you may file a formal complaint with our practice manager or with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect your care or result in any retaliation.
To exercise any of your rights or ask questions regarding our privacy practices, please contact our office at 708-427-8700.