Notice of Non-Discrimination
Federal civil rights laws prohibit certain health programs and activities from discriminating on the basis of race, color, national origin, age, disability, or sex. The laws apply to health programs and activities that receive funding from the Federal government, are administered by a Federal agency or are offered on a public Health Insurance Marketplace. Health plans that are subject to the laws include Medicare Part D plans, Medicaid plans, health plans offered by issuers on Health Insurance Marketplaces, and certain employee health benefit plans. If you have questions about whether these Federal civil rights laws apply to your plan, please contact your health plan at the number in your benefit plan materials.
If your health plan is subject to these Federal civil rights laws, it complies with the laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex and does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Your health plan:
Provides appropriate aids and services, free of charge, when necessary to ensure that people with disabilities have an equal opportunity to communicate effectively with us, such as:
- Auxiliary aids and services
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides language assistance services, free of charge, when necessary to provide meaningful access to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, call Customer Care at the phone number on your benefit ID card.
If you believe these services have not been appropriately provided to you or you have been discriminated against on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail, fax, or email with your health plan’s Civil Rights Coordinator.
You may also contact Customer Care and we will direct your grievance to your health plan’s Civil Rights Coordinator:
Nondiscrimination Grievance Coordinator
If you need additional help filing a grievance, your health plan’s Civil Rights Coordinator is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at:
U.S. Department of Health and Human Services
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Language assistance services, free of charge, are available to you. Call Customer Care at the number on your benefit ID card (TTY: 711).
.(مالحظة: إذا كنت تتحدث العربية، تتوفر خدمات المساعدة اللغوية مجان أجلك. اتصل بالرقم 0984-322-866-1 (من الهاتف النصي: 711