Notice of Non-Discrimination

Aetna

Aetna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Aetna does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Aetna:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:

- Qualified sign language interpreters

- Written information in other formats (large print, audio, accessible electronic formats, other formats)

  • Provides free language services to people whose primary language is not English, such as:

- Qualified interpreters

- Information written in other languages

If you need these services, contact the Aetna Medicare Customer Service Department at the phone number on your member ID card or listed on this webpage.

If you believe that Aetna has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Aetna Medicare Grievance Department
P.O. Box 14067
Lexington, KY 40512

You can also file a grievance by phone by calling the phone number on your member identification card (TTY: 711). If you need help filing a grievance, the Aetna Medicare Customer Service Department 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
200 Independence Avenue SW., Room 509F, HHH Building,
Washington, DC 20201
1–800–368–1019, (TDD: 800–537–7697)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. You can also contact the Aetna Civil Rights Coordinator by phone at 1-855-348-1369 (TTY: 711), by email at MedicareCRCoordinator@aetna.com, or by writing to:

Aetna Medicare Grievance Department
ATTN: Civil Rights Coordinator
P.O. Box 14067
Lexington, KY 40512

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health Care plans and their affiliates (Aetna).

TTY: 711

ATTENTION: If you speak a language other than English, free language assistance services are available. Call the phone number on your member ID card or listed on this webpage.

ESPAÑOL (SPANISH):
ATENCIÓN: Si usted habla español, se encuentran disponibles servicios gratuitos de asistencia de idiomas. Llame al número de teléfono que se indica en su tarjeta de identificación de afiliado o en esta página web.

简体中文(CHINESE):
请注意:如果您说中文,您可以获得免费的语言援助服务。致电您会员卡上或本网页上列出的电话号码。

繁體中文 (CHINESE):
請注意:如果您說中文,您可以獲得免費的語言協助服務。請致電您的會員卡或本網頁上所列的電話號碼。

TAGALOG (TAGALOG - FILIPINO):
PAUNAWA: Kung nagsasalita ka ng Tagalog, may makukuhang libreng tulong na serbisyo para sa wika. Tawagan ang numero ng telepono sa inyong ID kard ng miyembro o nakalista sa webpage na ito.

FRANÇAIS (FRENCH):
ATTENTION : Si vous parlez le français, des services gratuits d’aide linguistique sont disponibles. Appelez le numéro de téléphone figurant sur votre carte d’adhérent ou celui indiqué sur cette page Web.

TIẾNG VIỆT (VIETNAMESE):
LƯU Ý: Nếu quý vị nói tiếng Việt, chúng tôi có sẵn dịch vụ hỗ trợ ngôn ngữ miễn phí. Xin gọi số điện thoại ghi trên thẻ ID thành viên của quý vị hoặc có ở trang web này.

DEUTSCH (GERMAN):
ACHTUNG: Wenn Sie deutsch sprechen, steht ein kostenloser Dolmetscherservice zur Verfügung. Rufen Sie unter der auf Ihrem Mitgliedsausweis oder auf dieser Webseite aufgeführten Telefonnummer an.

한국어 (KOREAN):
주의: 한국어를 하시는 분들을 위해 무료 통역 서비스가 제공됩니다. 귀하의 회원 ID 카드 또는 본 웹페이지를 통해 제공되는 번호로 문의해 주시기 바랍니다.

РУССКИЙ (RUSSIAN):
ВНИМАНИЕ: Если вы говорите по-русски, вы можете воспользоваться нашими бесплатными услугами переводчиков. Позвоните по номеру телефона, указанному на вашей карточке-удостоверении участника или на этом веб-сайте.

العربية (ARABIC):

تنبيه: إذا كنت تتحدث اللغة العربية، فإن خدمات المساعدة اللغوية سوف تتوفر لك مجانًا. اتصل برقم الهاتف الموجود على بطاقة هوية العضو الخاصة بك أو الرقم المذكور على هذا الموقع الإلكتروني.

हिंदी (HINDI):

ध्यान दें: अगर आप बात करने में सक्षम हैं हिंदी, तो नि शुल्क भाषा सहायता सेवाएं उपलब्ध हैं। अपने सदस्य आईडी कार्ड या इस वेबपेज पर सूचीबद्ध नंबर पर फोन करें।

ITALIANO (ITALIAN):
ATTENZIONE: Se parli italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiama il numero telefonico riportato sulla tua tessera personale o elencato in questa pagina web.

PORTUGUÊS (PORTUGUESE):
ATENÇÃO: Se você fala português, serviços gratuitos de ajuda para esse idioma estão disponíveis. Ligue para o número exibido em seu cartão de ID de associado ou o número listado na página deste site.

KREYOL AYISYEN (FRENCH CREOLE):
ATANSYON: Si ou pale Kreyòl Ayisyen, gen sèvis èd gratis nan lang ki disponib pou ou. Rele nimewo telefòn ki nan kat idantifikasyon manm ou oswa ki endike na paj sitwèb sa a.

POLSKI (POLISH):
UWAGA! Osoby mówiące po polsku, mogą skorzystać z bezpłatnych usług pomocy językowej. Proszę zadzwonić pod numer telefonu znajdujący się na karcie identyfikacyjnej członka lub podany na tej stronie internetowej.

日本語 (JAPANESE):
ご注意:日本語を話す方を対象に、無料の言語支援サービスを用意しております。会員カードまたはこのウェブページに記載の電話番号までお電話ください。
 

Have one of the plans below?

 

Visit your plan’s website:
Altius Advantra
Coventry Medicare
First Health Part D

Covered by an employer or group?
Refer to the website on your member ID card or enrollment materials.

We're here to help!

Members: 
Email us or call Member Services at the number on your ID card.

Don’t have your ID card handy?
Find a phone number

Not yet a Member?
Email us or call an Aetna representative at 1-855-335-1407 (TTY: 711), Monday - Friday, 8 a.m. to 8 p.m.

 

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. 

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. 

       Y0001_4006_8294 Approved 11/04/2016

       Page last updated: Jan 05, 2017

 

 

Blue Cross Blue Shield Blue Care Network of Michigan

Nondiscrimination notice

What is this about?

This page discusses our nondiscrimination policy. It also provides relevant contact information if you want to file a civil rights complaint.

Blue Cross Blue Shield of Michigan and Blue Care Network comply with Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. 

Blue Cross Blue Shield of Michigan and Blue Care Network provide free auxiliary aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and information in other formats. We also provide free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, call the Customer Service number on the back of your card. If you aren’t already a member, call 877-469-2583 or, if you’re 65 or older, call 888-563-3307, TTY: 711.

Here’s how you can file a civil rights complaint

If you believe that Blue Cross Blue Shield of Michigan or Blue Care Network has failed to provide services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in person, by mail, fax, or email with: 

Office of Civil Rights Coordinator
600 E. Lafayette Blvd., MC 1302
Detroit, MI 48226
Phone: 888-605-6461, TTY: 711
Fax: 866-559-0578
Email: CivilRights@bcbsm.com

If you need help filing a grievance, the Office of Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health & Human Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal website, or by mail, phone, or email at: 

U.S. Department of Health & Human Services
200 Independence Ave
S.W., Washington, D.C. 20201
Phone: 800-368-1019
TTD: 800-537-7697
Email: OCRComplaint@hhs.gov

Complaint forms are available on the U.S. Department of Health & Human Services Office for Civil Rights website.

 


Cigna
Notice of Nondiscrimination: Discrimination is Against the Law
Cigna-HealthSpring complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Cigna-HealthSpring does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Cigna-HealthSpring:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Qualified sign language interpreters
o Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
o Qualified interpreters
o Information written in other languages
If you need these services, contact Customer Service at 1-800-668-3813, 8 a.m.–8 p.m., 7 days a week.
If you believe that Cigna-HealthSpring has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Cigna-HealthSpring
Attn: Customer Grievances
PO Box 2888
Houston, TX 77252-2888
Phone: 1-800-668-3813 (TTY 711) Fax: 1-888-586-9946.
You can file a grievance in writing by mail or fax. If you need help filing a grievance, Customer Service 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
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you. Call 1-800-668-3813 (TTY 711), 8 a.m.–8 p.m., 7 days a week. ATENCIÓN: si usted habla un idioma que no sea inglés, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-668-3813 (TTY 711), 8 a.m.–8 p.m , 7 días de la semana. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. INT_17_49135 09302016


Notificación Contra la Discriminación: La Discriminación es Contra la Ley
Cigna-HealthSpring cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Cigna-HealthSpring no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo.
Cigna-HealthSpring:
• Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes:
o Intérpretes de lenguaje de señas capacitados.
o Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos).
• Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los siguientes:
o Intérpretes capacitados.
o Información escrita en otros idiomas.
Si necesita recibir estos servicios, comuníquese con Customer Service al 1-800-668-3813, 8 a.m.– 8 p.m., 7 días de la semana.
Si considera que Cigna-HealthSpring no le proporcionó estos servicios o lo discriminó de otra manera por motivos de origen étnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona:
Cigna-HealthSpring Attn: Customer Grievances
PO Box 2888
Houston, TX 77252-2888
Teléfono: 1-800-668-3813 (TTY 711) Fax: 1-888-586-9946.
Puede presentar el reclamo escrito por correo postal o fax. Si necesita ayuda para hacerlo, Customer Service está a su disposición para brindársela.
También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html.
Todos los productos y servicios de Cigna se brindan exclusivamente por o a través de subsidiarias operativas de Cigna Corporation. El nombre de Cigna, los logotipos, y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you. Call 1-800-668-3813 (TTY 711), 8 a.m.–8 p.m., 7 days a week. ATENCIÓN: si usted habla un idioma que no sea inglés, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-668-3813 (TTY 711), 8 a.m.–8 p.m , 7 días de la semana. Cigna-HealthSpring tiene contrato con Medicare para planes PDP, planes HMO y PPO en ciertos estados, y con ciertos programas estatales de Medicaid. La inscripción en Cigna-HealthSpring depende de la renovación de contrato. INT_17_49135S 09302016





CVS





Health Alliance

DISCRIMINATION IS AGAINST THE LAW
Health Alliance Northwest complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Health Alliance Northwest does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. Health Alliance Northwest:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Qualified sign language interpreters
o Written information in other formats (large print audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
o Qualified interpreters
o Information written in other languages
If you need these services, contact customer service.
If you believe that Health Alliance Northwest has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Health Alliance Northwest, Member Services, 316 Fifth Street, Wenatchee, WA 98801, telephone: 1-877-750-3350 TTY: 711, fax: 217-337-3425, MemberServices@healthalliance.org. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Member Services 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, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, TTY: 1-800-537-7697.
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATENCIÓN: Si habla Español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. Llame 1-877-750-3350 (TTY: 711).
注意:如果你講中文,語言協助服務,免費的,都可以給你。呼叫1-877-750-3350(TTY: 711)。
UWAGA: Jeśli mówić Polskie, usługi pomocy języka, bezpłatnie, są dostępne dla Ciebie. Zadzwoń 1-877-750-3350 (TTY: 711).
Chú ý: Nếu bạn nói Tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ, miễn phí, có sẵn cho bạn. Gọi 1-877-750-3350 (TTY: 711).
주의 : 당신이한국어, 무료 언어 지원 서비스를 말하는 경우 사용할 수 있습니다. 1-877-750-3350 전화 (TTY: 711).
ВНИМАНИЕ: Если вы говорите русский, вставки услуги языковой помощи, бесплатно, доступны для вас. Вызов 1-877-750-3350 (TTY: 711).
Pansin: Kung magsalita ka Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. Tumawag 1-877-750-3350 (TTY: 711).
1-877-750-3350 تنبيه: إذا كنت تتحدث اللغة العربية ، خدمات المساعدة اللغوية ، مجانا ، تتوفر لك . استدعاء (TTY: 711).
Wenn Sie Deutsch sprechen, Sprachassistenzdienste sind kostenlos, zur Verfügung. Anruf 1-877-750-3350 (TTY: 711).
ATTENTION: Si vous parlez français, les services d'assistance linguistique, gratuitement, sont à votre disposition. Appelez 1-877-750-3350 (TTY: 711).
ધ્યા: તમે વાત તો 􀈤ુજરાતી, ભાષા સહાય ાય સેવાઓ, મફત, તમારા માટ􀂰 ઉપલબ્ છે . કૉલ 1-877-750-3350 (TTY: 711).
注意:あなたは、日本語 、無料で言語支援サービスを、話す場合は、あなたに利用可能です。 1-877-750-3350コール(TTY: 711)。
LET OP: Als je spreekt pennsylvania nederlandse, taalkundige bijstand diensten, gratis voor u beschikbaar zijn. Bel 1-877-750-3350 (TTY: 711).
УВАГА: Якщо ви говорите український, вставки послуги мовної допомоги , безкоштовно, доступні для вас. Виклик 1-877-750-3350 (TTY: 711).
ATTENZIONE: Se si parla italiano, servizi di assistenza linguistica, a titolo gratuito, sono a vostra disposizione. Chiamare 1-877-750-3350 (TTY: 711).

DISCRIMINATION IS AGAINST THE LAW
Health Alliance Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Health Alliance Medicare does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. Health Alliance Medicare:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Qualified sign language interpreters
o Written information in other formats (large print audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
o Qualified interpreters
o Information written in other languages
If you need these services, contact customer service.
If you believe that Health Alliance Medicare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Health Alliance Medicare, Member Services, 301 S. Vine Street, Urbana, IL 61801, telephone: 1-800-965-4022 TTY: 711, fax: 217-337-3425, MemberServices@healthalliance.org. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Member Services 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, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, TTY: 1-800-537-7697.
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATENCIÓN: Si habla Español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. Llame 1-800-965-4022 (TTY: 711).
注意:如果你講中文,語言協助服務,免費的,都可以給你。呼叫 1-800-965-4022 (TTY: 711)。
UWAGA: Jeśli mówić Polskie, usługi pomocy języka, bezpłatnie, są dostępne dla Ciebie. Zadzwoń 1-800-965-4022 (TTY: 711).
Chú ý: Nếu bạn nói Tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ, miễn phí, có sẵn cho bạn. Gọi 1-800-965-4022 (TTY: 711).
주의 : 당신이한국어, 무료 언어 지원 서비스를 말하는 경우 사용할 수 있습니다. 1-800-965-4022 전화
(TTY: 711).
ВНИМАНИЕ: Если вы говорите русский, вставки услуги языковой помощи, бесплатно, доступны для вас. Вызов 1-800-965-4022 (TTY: 711).
Pansin: Kung magsalita ka Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. Tumawag 1-800-965-4022 (TTY: 711).
1-800-965-4022 تنبيه: إذا كنت تتحدث اللغة العربية ، خدمات المساعدة اللغوية ، مجانا ، تتوفر لك . استدعاء (TTY: 711).
Wenn Sie Deutsch sprechen, Sprachassistenzdienste sind kostenlos, zur Verfügung. Anruf 1-800-965-4022 (TTY: 711).
ATTENTION: Si vous parlez français, les services d'assistance linguistique, gratuitement, sont à votre disposition. Appelez 1-800-965-4022 (TTY: 711).
ધ્યા: તમે વાત તો 􀈤ુજરાતી, ભાષા સહાય ાય સેવાઓ, મફત, તમારા માટ􀂰 ઉપલબ્ છે. કૉલ 1-800-965-4022 (TTY: 711).
注意:あなたは、日本語 、無料で言語支援サービスを、話す場合は、あなたに利用可能です。 1-800-965-4022コール(TTY: 711)。
LET OP: Als je spreekt pennsylvania nederlandse, taalkundige bijstand diensten, gratis voor u beschikbaar zijn. Bel 1-800-965-4022 (TTY: 711).
УВАГА: Якщо ви говорите український, вставки послуги мовної допомоги, безкоштовно, доступні для вас. Виклик 1-800-965-4022 (TTY: 711).
ATTENZIONE: Se si parla italiano, servizi di assistenza linguistica, a titolo gratuito, sono a vostra disposizione. Chiamare 1-800-965-4022 (TTY: 711).



Humana

Discrimination is Against the Law

Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex. Humana Inc. and its subsidiaries do not exclude people or treat them differently because of race, color, national origin, age, disability, sex.

Humana Inc. and its subsidiaries provide:

  • Free auxiliary aids and services, such as qualified sign language interpreters, video remote interpretation, and written information in other formats to people with disabilities when such auxiliary aids and services are necessary to ensure an equal opportunity to participate.
  • Free language services to people whose primary language is not English when those services are necessary to provide meaningful access, such as translated documents or oral interpretation.

 

If you need these services, call 1-877-320-1235 or if you use a TTY, call 711.

If you believe that Humana Inc. and its subsidiaries have failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex or health, you can file a grievance with:

Discrimination Grievances P.O. Box 14618 Lexington, KY 40512-4618 If you need help filing a grievance, call 1-877-320-1235 or if you use a TTY, call 711.

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 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

 

GHHJUTWEN

 

 

Y0040_TRANSLT2MA_17b Accepted

 

Language assistance services, free of charge, are available to you. 1-877-320-1235 (TTY: 711)

Español (Spanish): Llame al número arriba indicado para recibir servicios gratuitos de asistencia lingüística.

繁體中文 (Chinese): 撥打上面的電話號碼即可獲得免費語言援助服務。

Tiếng Việt (Vietnamese): Xin gọi số điện thoại trên đây để nhận được các dịch vụ hỗ trợ ngôn ngữ miễn phí.

한국어 (Korean): 무료 언어 지원 서비스를 받으려면 위의 번호로 전화하십시오 .

Tagalog (Tagalog – Filipino): Tawagan ang numero sa itaas upang makatanggap ng mga serbisyo ng tulong sa wika nang walang bayad.

Русский (Russian): Позвоните по номеру, указанному выше, чтобы получить бесплатные услуги перевода.

Kreyòl Ayisyen (French Creole): Rele nimewo ki pi wo la a, pou resevwa sèvis èd pou lang ki gratis.

Français (French): Appelez le numéro ci-dessus pour recevoir gratuitement des services d’aide linguistique.

Polski (Polish): Aby skorzystać z bezpłatnej pomocy językowej, proszę zadzwonić pod wyżej podany numer.

Português (Portuguese): Ligue para o número acima indicado para receber serviços linguísticos, grátis.

Italiano (Italian): Chiamare il numero sopra per ricevere servizi di assistenza linguistica gratuiti.

Deutsch (German): Wählen Sie die oben angegebene Nummer, um kostenlose sprachliche Hilfsdienstleistungen zu erhalten.

日本語 (Japanese): 無料の言語支援サービスをご要望の場合は、上記の番号までお電話ください。

فارسی (Farsi) 
.بگیرید تماس فوق شماره با رایگان بصورت زبانی تسهیالت دریافت برای

العر بية (Arabic)
 الرجاء الاتصال بالرقم المبين أعلاه للحصول على خدمات مجانية للمساعدة بلغتك

 

 

Medica

If you want free help translating this information, call the number included in this document or on the back of your Medica ID card.
Si desea asistencia gratuita para traducir esta información, llame al número que figura en este documento o en la parte posterior de su tarjeta de identificación de Medica.
Yog koj xav tau kev pab dawb kom txhais daim ntawv no, hu rau tus xov tooj nyob hauv daim ntawv no los yog nyob nraum qab ntawm koj daim npav Medica ID.
如果您需要免費翻譯此資訊,請致電本文檔中或者在您的Medica ID卡背面包含的號碼。
Nếu quý vị muốn trợ giúp dịch thông tin này miễn phí, hãy gọi vào số có trong tài liệu này hoặc ở mặt sau thẻ ID Medica của quý vị.
Odeeffannoo kana gargaarsa tolaan akka isinii hiikamu yoo barbaaddan, lakkoobsa barruu kana keessatti argamu ykn ka dugda kaardii Waraqaa Eenyummaa Medica irra jiruun bilbila’a.
إذا كنت تريد مساعدة مجانية في ترجمة هذه المعلومات،
فاتصل على الرقم الوارد في هذه الوثيقة أو على ظهر
بطاقة تعريف ميديكا الخاصة بك.
Если Вы хотите получить бесплатную помощь в переводе этой информации, позвоните по номеру телефона, указанному в данном документе и на обратной стороне Вашей индентификационной карты Medica.
ຖ້າທ່ານຕ້ອງການຄວາມຊ່ວຍເຫຼືອໃນການແປຂໍ້ມູນນີ້ຟຣີ, ໃຫ້ໂທຫາເລກໝາຍທີ່ມີຢູ່ໃນເອກະສານນີ້ ຫຼື ຢູ່ດ້ານຫຼັງຂອງບັດ Medica ຂອງທ່ານ.
이 정보를 번역하는 데 무료로 도움을 받고 싶으시면, 이 문서에 포함된 전화번호나 Medica ID 카드 뒷면의 전화번호로 전화하십시오.
Si vous voulez une assistance gratuite pour traduire ces informations, appelez le numéro indiqué dans ce document ou au dos de votre carte d’identification Medica.
erh>tJ.’d;w>usd;xHpXRuvDM>eRw>*h>w>usdRtHRvXtuvDM.<ud;vDwJpdeD.*H>vXty.CkmvXvHmwDvHmrDtylRtHRrhwrh>zJeMedica vHmtk.o;c;uhtvD>cHwuyRtzDcd.M.wuh>I
Kung nais mo ng libreng tulong sa pagsasalin ng impormasyong ito, tawagan ang numero na kasama sa dokumentong ito o sa likod ng iyong Kard ng Medica.
ይህን መረጃ ለመተርጎም ነጻ እርዳታ የሚፈልጉ ከሆነ በዝ ህ ሰነድ ዉስጥ ያለውን ቁጥር ወይም Medica መታወቅያ ካርድዎ በስተጀርባ ያለውን ይደውሉ።
Ako želite besplatnu pomoć za prijevod ovih informacija, nazovite broj naveden u ovom dokumentu ili na poleđini svoje ID kartice Medica.
D77 t’11 j77k’e sh1 ata’ hodoonih n7n7zingo 47 ninaaltsoos Medica bee n47ho’d7lzin7g7 bine’d44’ n1mboo bik7’1g78j8’ b44sh bee hod7ilnih.
Wenn Sie bei der Übersetzung dieser Informationen kostenlose Hilfe in Anspruch nehmen möchten, rufen Sie bitte die in diesem Dokument oder auf der Rückseite Ihrer Medica-ID-Karte angegebene Nummer an.
Medica complies with applicable Federal civil rights laws and will not discriminate against any person based on his or her race, color, creed, religion, national origin, sex, gender, gender identity, health status including mental and physical medical conditions, marital status, familial status, status with regard to public assistance, disability, sexual orientation, age, political beliefs, membership or activity in a local commission, or any other classification protected by law. Medica:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as: TTY communication
• Written information in other formats (large print, audio, other formats)
• Provides free language services to people whose primary language is not English, such as:
Qualified interpreters and information written in other languages
If you need these services, contact the number on the back of your identification card. If you believe that Medica has failed to provide these services or discriminated in another way on the basis of your race, color, creed, religion, national origin, sex, gender, gender identity, health status including mental and physical medical conditions, marital status, familial status, status with regard to public assistance, disability, sexual orientation, age, political beliefs, membership or activity in a local commission, or any other classification protected by law, you can file a grievance with: Civil Rights Coordinator, Mail Route CP250, PO Box 9310, Minneapolis, MN 55443-9310, 952-992-3422, TTY: 711, civilrightscoordinator@medica.com.
You can file a grievance in person or by mail, fax, or email. You may also contact the Civil Rights Coordinator if you need assistance with filing a complaint. 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, 200 Independence Avenue, SW Room 509F, HHH Building, Washington, D.C. 20201 800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Discrimination is Against the Law

 

 

Regence

NONDISCRIMINATION NOTICE
01012017.04PF12LNoticeNDMARegence
Regence complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Regence does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Regence:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
 Qualified sign language interpreters
 Written information in other formats (large print, audio, and accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as:
 Qualified interpreters
 Information written in other languages
If you need these services listed above, please contact:
Medicare Customer Service
1-800-541-8981 (TTY: 711)
Customer Service for all other plans
1-888-344-6347 (TTY: 711)
If you believe that Regence has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our civil rights coordinator below:
Medicare Customer Service
Civil Rights Coordinator
MS: B32AG, PO Box 1827
Medford, OR 97501
1-866-749-0355, (TTY: 711)
Fax: 1-888-309-8784
medicareappeals@regence.com
Customer Service for all other plans
Civil Rights Coordinator
MS CS B32B, P.O. Box 1271
Portland, OR 97207-1271
1-888-344-6347, (TTY: 711)
CS@regence.com
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 at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW,
Room 509F HHH Building
Washington, DC 20201
1-800-368-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Language assistance
01012017.04PF12LNoticeNDMARegence
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-344-6347 (TTY: 711).
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-888-344-6347 (TTY: 711)。
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-344-6347 (TTY: 711).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-344-6347 (TTY: 711) 번으로 전화해 주십시오.
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-344-6347 (TTY: 711).
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-344-6347 (телетайп: 711).
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-344-6347 (ATS : 711)
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-888-344-6347 (TTY:711)まで、お電話にてご連絡ください。
ti’go Diné Bizaad, saad 1-888-344-6347 (TTY: 711.)
FAKATOKANGA’I: Kapau ‘oku ke Lea-
Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea te ke lava ‘o ma’u ia. ha’o telefonimai mai ki he fika 1-888-344-6347 (TTY: 711)
OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-888-344-6347 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711)
ប្រយ័ត្ន៖ បរើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, បសវាជំនួយខ្ននកភាសា បោយមិនគិត្ឈ្នួល គឺអាចមានសំរារ់រំបរើអ្នក។ ចូរ ទូរស័ព្ទ 1-888-344-6347 (TTY: 711)។
ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧ ਿੱਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-888-344-6347 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachdienstleistungen zur Verfügung. Rufnummer: 1-888-344-6347 (TTY: 711)
ማስታወሻ:- የሚናገሩት ቋንቋ አማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፤ በሚከተለው ቁጥር ይደውሉ 1-888-344-6347 (መስማት ለተሳናቸው:- 711)፡፡
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-888-344-6347 (телетайп: 711)
ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको दनदतत भाषा सहायता सेवाहरू दनिःशुल्क रूपमा उपलब्ध छ । फोन गनुुहोस् 1-888-344-6347 (दिदिवार्इ: 711
ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-888-344-6347 (TTY: 711)
MAANDO: To a waawi [Adamawa], e woodi ballooji-ma to ekkitaaki wolde caahu. Noddu 1-888-344-6347 (TTY: 711)
โปรดทราบ: ถ้าคุณพูดภาษาไทย คุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-888-344-6347 (TTY: 711)
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫ ຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-888-344-6347 (TTY: 711)
Afaan dubbattan Oroomiffaa tiif, tajaajila gargaarsa afaanii tola ni jira. 1-888-344-6347 (TTY: 711) tiin bilbilaa.
توجه: اگر به زبان فارسی صحبت می کنید، تسهیلات زبانی بصورت رایگان برای شما
فراهم می باشد. با 1-888-344-6347 (TTY: 711) تماس بگیرید.
ملحوظة: إذا كنت تتحدث فاذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-888-344-6347
)رقم هاتف الصم والبكم (TTY: 711

NONDISCRIMINATION NOTICE
01012017.04PF12LNoticeNDMAAsuris
Asuris complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Asuris does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Asuris:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
 Qualified sign language interpreters
 Written information in other formats (large print, audio, and accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as:
 Qualified interpreters
 Information written in other languages
If you need these services listed above, please contact:
Medicare Customer Service
1-800-541-8981 (TTY: 711)
Customer Service for all other plans
1-888-232-8229 (TTY: 711)
If you believe that Asuris has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our civil rights coordinator below:
Medicare Customer Service
Civil Rights Coordinator
MS: B32AG, PO Box 1827
Medford, OR 97501
1-866-749-0355 (TTY: 711)
Fax: 1-888-309-8784
medicareappeals@asuris.com
Customer Service for all other plans
Civil Rights Coordinator
MS CS B32B, P.O. Box 1271
Portland, OR 97207-1271
1-888-232-8229 (TTY: 711)
CS@Asuris.com
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 at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW,
Room 509F HHH Building
Washington, DC 20201
1-800-368-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Language assistance
01012017.04PF12LNoticeNDMAAsuris
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-232-8229 (TTY: 711).
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-888-232-8229 (TTY: 711)。
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-232-8229 (TTY: 711).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-232-8229 (TTY: 711) 번으로 전화해 주십시오.
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-232-8229 (TTY: 711).
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-232-8229 (телетайп: 711).
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-232-8229 (ATS : 711)
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-888-232-8229 (TTY:711)まで、お電話にてご連絡ください。
ti’go Diné Bizaad, saad 1-888-232-8229 (TTY: 711.)
FAKATOKANGA’I: Kapau ‘oku ke Lea-
Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea te ke lava ‘o ma’u ia. ha’o telefonimai mai ki he fika 1-888-232-8229 (TTY: 711)
OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-888-232-8229 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711)
ប្រយ័ត្ន៖ បរើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, បសវាជំនួយខ្ននកភាសា បោយមិនគិត្ឈ្នួល គឺអាចមានសំរារ់រំបរើអ្នក។ ចូរ ទូរស័ព្ទ 1-888-232-8229 (TTY: 711)។
ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧ ਿੱਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-888-232-8229 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachdienstleistungen zur Verfügung. Rufnummer: 1-888-232-8229 (TTY: 711)
ማስታወሻ:- የሚናገሩት ቋንቋ አማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፤ በሚከተለው ቁጥር ይደውሉ 1-888-232-8229 (መስማት ለተሳናቸው:- 711)፡፡
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-888-232-8229 (телетайп: 711)
ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको दनदतत भाषा सहायता सेवाहरू दनिःशुल्क रूपमा उपलब्ध छ । फोन गनुुहोस् 1-888-232-8229 (दिदिवार्इ: 711
ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-888-232-8229 (TTY: 711)
MAANDO: To a waawi [Adamawa], e woodi ballooji-ma to ekkitaaki wolde caahu. Noddu 1-888-232-8229 (TTY: 711)
โปรดทราบ: ถ้าคุณพูดภาษาไทย คุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-888-232-8229 (TTY: 711)
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫ ຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-888-232-8229 (TTY: 711)
Afaan dubbattan Oroomiffaa tiif, tajaajila gargaarsa afaanii tola ni jira. 1-888-232-8229 (TTY: 711) tiin bilbilaa.
توجه: اگر به زبان فارسی صحبت می کنید، تسهیلات زبانی بصورت رایگان برای شما
فراهم می باشد. با 1-888-232-8229 (TTY: 711) تماس بگیرید.
ملحوظة: إذا كنت تتحدث فاذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-888-232-8229
)رقم هاتف الصم والبكم (TTY: 711




UnitedHealthcare

Language Assistance / Nondiscrimination Notice

Language Assistance Notices

We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m.

Español

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.
Si no es miembro de UHC, llame al 888-383-9253.

Chinese

shqip (Albanian) | አማርኛ (Amharic) | (Arabic) العربية | հայերեն (Armenian) | Ikirundi (Kirundi) | Cebuano (Cebuano) | বাংলা (Bengali) | Burmese | ភាសាខ្មមរ (Khmer) | ᏣᎳᎩ (Cherokee) | 中文 (Chinese) | Chahta (Choctaw) | Afaan Oromoo (Oromo) | Nederlands (Dutch) | English | français (French) | Kreyòl ayisyen (Haitian Creole) | Deutsch (German) | Ελληνικά (Greek) | ગુજરાતી (Gujarati) | ʻōlelo Hawaiʻi (Hawaiian) | हिंदी (Hindi) | Hmoob (Hmong) | Igbo (Igbo) | Ilocano (Ilocano) | Bahasa Indonesia (Indonesian) | l’italiano (Italian) | 日本語(Japanese) | unDusdm (Karen) | 한국어 (Korean)Bassa (Bassa) | (Kurdish Sorani) کوردی سۆرانی | ລາວ (Laotian) | मराठी (Marathi) | Kajin Ṃajeḷ (Marshallese) | lokaiahn Pohnpei (Pohnpeian) | Diné (Navajo) | नेपाली (Nepali) | Thuɔŋjäŋ (Dinka) | norsk (Norwegian) | Deitsch Schwetze (Pennsylvanian Dutch) | (Farsi) فارسی | ਪੰਜਾਬੀ (Punjabi) | polsku (Polish) | português (Portuguese) | românește (Romanian) | русском (Russian) | Samoa (Samoan) | hrvatski (Croatian) | Soomaali (Somali) | español (Spanish) | Fulani (Sudanic-Fulfulde) | Kiswahili (Swahili) | (Syriac) ܣܘܼܪܲܬܼ | Tagalog (Tagalog) | తెలుగు (Telugu) | ภาษาไทย (Thai) | Fakatonga (Tongan)Chuuk (Chuukese) | Türkçe (Turkish) | українською мовою (Ukrainian) | (Urdu) اردو | Việt (Vietnamese) | (Yiddish) אידיש | Yorùbá (Yoruba)

Nondiscrimination Notice

UnitedHealthcare Services, Inc. on behalf of itself and its affiliates does not treat members differently because of sex, age, race, color, disability or national origin.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator.

Online: UHC_Civil_Rights@uhc.com
Mail: Civil Rights Coordinator
         UnitedHealthcare Civil Rights Grievance
         P.O. Box 30608 Salt Lake City, UTAH 84130

You must send the complaint within 60 days of when you found out about it.  A decision will be sent to you within 30 days.  If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m.

You can also file a complaint with the U.S. Dept. of Health and Human Services.

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD)
Mail: U.S. Dept. of Health and Human Services
         200 Independence Avenue, SW Room 509F, HHH Building
         Washington, D.C. 20201

shqip (Albanian)

KUJDES: Në rast se flisni shqip (Albanian), juve ju ofrohen falas shërbimet e ndihmës gjuhësore. Ju lutemi merrni në telefon në numrin falas që ndodhet në kartën e identifikimit tuaj.
Në rast se nuk jeni anëtar/e i UHC, telefononi në numrin 888-383-9253.

 

አማርኛ (Amharic)

ማሳሰቢያ: አማርኛ (Amharic) የሚናገሩ ከሆነ፣ የቋንቋ እገዛ አገልግሎቶች፣ ያለክፍያ ይቀርብልዎታል፡፡ እባክዎትን መታወቂያዎት ላይ የሚገኘውን የነጻ የስልክ መስመር ይደውሉ፡፡
የ UHC አባል ካልሆኑ፣ 888-383-9253 ያናግሩ።

 

(Arabic) العربية

 

հայերեն (Armenian)

ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե հայերեն (Armenian) եք խոսում, անվճար լեզվական օգնության ծառայություններ են հասնում Ձեզ: Խնդրվում է զանգահարել անվճար հեռախոսահամարով, որը նշվել է Ձեր ճանաչողական քարտի վրա:
Եթե անդամ չեք UHC-ի, զանգահարեք 888-383-9253 համարով:

 

Ikirundi (Kirundi)

ICITONDERWA: Nimba uvuga Ikirundi (Kirundi), uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona ku numero ya telefone yo kubuntu yanditse muri karangamuntu yawe.
Mu gihe utari umunywanyi wa UHC, hamagara 888-383-9253.

 

Cebuano (Cebuano)

ATENSYON: Kung Cebuano (Cebuano) ang imong sinultihan, magamit nimo ang mga serbisyo sa tabang sa lengguwahe, nga walay bayad. Palihug tawag sa walay toll nga numero sa telepono nga nakalista sa imong kard sa identipikasyon.
Kung dili ka miyembro sa UHC, tawag sa 888-383-9253.

 

বাংলা (Bengali)

ঘোষণা : আপনার ভাষা যদি বাংলা (Bengali) হয়, ভাষা সহায়তা পরিষেবা আপনি বিনামূল্যে পেতে পারন। দয়া করে আপনার পরিচয় পত্রে দেওয়া টোল-ফ্রি বা বিনাশুল্কের টেলিফোন নস্বরে ফোন করুন।
আপদন যদি UHC-র সিসে নো হষয় থোষকন, তোহষয 888-383-9253-ঘত ঘ োন কনন।

 

Burmese

 

ភាសាខ្មមរ (Khmer)

 

ᏣᎳᎩ (Cherokee)

 

中文 (Chinese)

 

Chahta (Choctaw)

Anumpa Pa Pisa: Chahta (Choctaw) anumpa ish anumpuli hokmvt tohsholi yvt peh pilla ho chi apela hinla. Tvli anumpa holhtena yvt chi holisso iskitini takanli. Yvmma peh pilla ho i paya.
UHC Memba chia kiyo hokmvt holhtina takanli pa ish paya hinla, 888-383-9253.

 

Afaan Oromoo (Oromo)

HUBACHISA: Kan ati dubbattu Afaan Oromoo (Oromo) yoo ta’ee, tajaajilliwwan gargaarsa afaanii, kanfalttii malee siif jira. Maaloo karaa lakkoofsa bilbilaa kanfaltii malee Waraqaa Eenyummaa keerratti tareefameetiin bilbili.
Ati miseensa UHC yoo hin taane, kanaan bilbili 888-383-9253.

 

Nederlands (Dutch)

OPGELET: Indien u Nederlands (Dutch) spreekt zijn taalbijstandsdiensten gratis voor u beschikbaar. Gelieve het gratis telefoonnummer die u op uw identificatiekaart vindt te bellen.
Indien u niet lid van UHC bent, bel dan naar 888-383-9253.

 

English

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.
If you are not a UnitedHealthcare member, call 888-383-9253.

 

français (French)

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuillez appeler le numéro de téléphone gratuit figurant sur votre carte d’identification.
Si vous n’êtes pas affilié(e) à UHC, veuillez appeler le 888-383-9253.

 

Kreyòl ayisyen (Haitian Creole)

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.
Si ou pa manm UHC, rele 888-383-9253.

 

Deutsch (German)

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.
Wenn Sie kein UHC-Mitglied sind, rufen Sie bitte unter 888-383-9253 an.

 

Ελληνικά (Greek)

ΠΡΟΣΟΧΗ : Αν μιλάτε Ελληνικά (Greek), υπάρχει δωρεάν βοήθεια στη γλώσσα σας. Παρακαλείστε να καλέσετε το δωρεάν αριθμό που θα βρείτε στην κάρτα ταυτότητας μέλους.
Αν δεν είστε μέλος της UHC, καλέστε το 888-383-9253.

 

ગુજરાતી (Gujarati)

ધ્યાન આપો: જો તમે  ગુજરાતી (Gujarati) બોલતા હો તો આપને ભાષાકીય મદદરૂપ સેવા વિના મૂલ્યે  પ્રાપ્ય છે. કૃપા કરી તમારા આઇડેન્ટીફિકેશન કાર્ડ પર આપેલા ટોલ-ફ્રી નંબર પર કોલ કરો.
જો તમે UHC ના સભ્ય ન હોવ તો 888-383-9253 પર કોલ કરો.

 

ʻōlelo Hawaiʻi (Hawaiian)

MALIU MAI! Inā ʻōlelo ʻoe i ka ʻōlelo Hawaiʻi (Hawaiian), loaʻa ke kōkua unuhi manuahi no ke kōkua ʻana aku iāʻoe. ʻOluʻolu e kelepona aku i ka helu kelepona kahea manuahi i hoʻopaʻa ʻia ma kāu kāleka hōʻike pilikino.
Inā ʻaʻole ʻoe he lālā no ka hui ʻinikua mālama ola UHC, ʻoluʻolu e kelepona aku i kēia helu 888-383-9253.

 

हिंदी (Hindi)

कृपा ध्यान दें: यदि आप हिंदी (Hindi) भाषी हैं तो आपके लिए भाषा सहायता सेवाएं नि:शुल्क उपलब्ध हैं। कृपा अपने पहचान पत्र पर दिए टाल-फ़्री फ़ोन नंबर पर काल करें।
अगर आप UHC सदस्य नह ीं हैं, 888-383-9253 पर कॉल करें।

 

Hmoob (Hmong)

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.
Yog tias koj tsis yog UHC ib tug tswv cuab, hu rau 888-383-9253.

 

Igbo (Igbo)

GEE NTI: Ọ bụrụ na ina asụ asụsụ Igbo (Igbo), enyemaka na-ahazi asụsụ, bu n’efu, dịrị gị mgbe niile. Biko kpọọ ndị toll-free na nọmbà ekwentị nke edepụtara na kaadi njirimara gị.
Ọ bụrụ na ibughi onyeòtù UHC, kpọọ 888-383-9253.

 

Ilocano (Ilocano)

PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.
Nu madi ka nga miembro iti UHC, tawagan iti 888-383-9253.

 

Bahasa Indonesia (Indonesian)

PERHATIAN: Jika Anda berbicara Bahasa Indonesia (Indonesian), layanan bantuan bahasa akan tersedia untuk Anda secara gratis. Harap hubungi nomor telepon bebas pulsa yang tercantum pada kartu identitas Anda.
Jika Anda bukan anggota UHC, hubungi 888-383-9253.

 

l’italiano (Italian)

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.
Se non siete membri UHC, chiamate il numero 888-383-9253.

 

日本語(Japanese)

注意事項:日本語(Japanese)を話される場合、無料の言語支援サービスをご利用いただけます。健康保険証に記載されているフリーダイヤルにお電話ください。
UHC のメンバーでない方は、888-383-9253 にお電話ください。

 

unDusdm (Karen)

 

한국어 (Korean)

알림: 한국어(Korean)를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다. 귀하의 신분증 카드에 기재된 무료 회원 전화번호로 문의하십시오.
UHC 회원이 아닌 경우, 888-383-9253 번으로 전화하십시오.

 

Bassa (Bassa)

YI LÈ: I balè u mpòt Bassa (Bassa), bot ba kòbòl mahòp yanga, bayé ha i nyuu hola wè. Sòhò, sébél i nsinga i yé ntilgaga i kat yòŋ i mbon nloŋ. U saa béé.
I bale u tabe mbon nloŋ i UHC, sebel i nsinga ini 888-383-9253.

 

 (Kurdish Sorani) کوردی سۆرانی

 

ລາວ (Laotian)

 

मराठी (Marathi)

कृपया लक्ष द्या: जर तुम्ही मराठी (Marathi) बोलत असल्यास, भाषा सहाय्य सेवा तुम्हाला मोफत उपलब्ध आहेत. कृपया तुमच्या ओळखपत्रावर दिलेल्या टोल फ्री कमांकावर संपर्क करा.
जर तुम्ह UHC चेसदस्य नसाल, तर 888-383-9253 क्रमाींकावर फोन करा.

 

Kajin Ṃajeḷ (Marshallese)

LALE: Ñe kwōj kōnono Kajin Ṃajeḷ (Marshallese), kwomaroñ bōk jerbal in jipañ in kajin ejjeḷọk wōṇāān. Kwōn joun im kalḷọk nōṃba eo ejjeḷọk wōṇāān im ej jeje ilo kaat in identification eo aṃ.
Ñe kwoj jab uwaan UHC, kalḷọk 888-383-9253.

 

lokaiahn Pohnpei (Pohnpeian)

KANSENOH: Ma komw lokaiahn Pohnpei (Pohnpeian), mie sawas en mahsen, soh isepe, ong komwi. Menlau, eker delepwohn nempe me soh isepe me ntingihdi ni pein omwi doaropwe idihada.
Ma komw sohte tohn UHC, eker 888-383-9253.

 

Diné (Navajo)

DÍÍ BAA'ÁKONÍNÍZIN: Diné (Navajo) bizaad bee yániłti'go, saad bee áka'anída'awo'ígíí, t'áá jíík'eh, bee ná'ahóót'i'. T'áá shǫǫdí ninaaltsoos nitł'izí bee nééhozinígíí bine'dę́ę́' t'áá jíík'ehgo béésh bee hane'í biká'ígíí bee hodíilnih.
UHC doo bił náha'dít'éégo, kohjį' 888-383-9253 hodíilnih.

 

नेपाली (Nepali)

ध्यान दें: यदि तपाईं नेपाली (Nepali) भाषा बोल्‍नुहुन्छ भने, तपाईंको निम्‍ति निशुल्‍क भाषा सेवा उपलब्‍ध छ। कृपया तपाईंको परिचय कार्डमा सूचीकृत फोन नम्‍बरमा कल गर्नुहोस्।
यदद तपाईं युएचलस (UHC) सदस्य हुनुहुन ् न भने, 888-383-9253 मा फोन गनुडहोस ।

 

Thuɔŋjäŋ (Dinka)

DETTIC: Na yï jam ë Thuɔŋjäŋ (Dinka) ke kuɔɔny de wɛ̈ɛ̈r de thookyic abac atɔ alëu benë yï kony. Them ba cööt në namba de thiliŋ yenë cööt abac cï gɔ̈ɔ̈r në wereŋ dun ye yï nyuɔɔth kɔ̈u.
Na cï ye ran de UHC, cɔl 888-383-9253.

 

norsk (Norwegian)

OBS: Hvis du snakker norsk (Norwegian), kan du få gratis språkhjelp. Ring gratisnummeret som står på ID-kortet.
Hvis du ikke er medlem av UHC, ring 888-383-9253.

 

Deitsch Schwetze (Pennsylvanian Dutch)

AADACHT: Wann du Deitsch Schwetze (Pennsylvanian Dutch) kann, kannscht du frei Schprooch aushilfe griege. Ruf die frei telefon Nummer uff dei eegne ID Kaart.
Indien u niet lid van UHC bent, bel dan naar 888-383-9253.

 

(Farsi) فارسی

 

ਪੰਜਾਬੀ (Punjabi)

ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ (Punjabi) ਬੋਲਦੇ ਹੋ, ਤਾਂ ਤੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂ ਬਿਲਕੁਲ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। ਕਿਰਪਾ ਕਰਕੇ ਆਪਣੇ ਪਛਾਣ-ਪੱਤਰ 'ਤੇ ਦਿੱਤੇ ਗਏ ਟੋਲ ਫ਼੍ਰੀ ਨੰਬਰ 'ਤੇ ਕਾੱਲ ਕਰੋ।
ਜੇ ਤੁਸੀਂ ਯੂਐਚਸੀ (UHC) ਮੈਂਬਰ ਨਹੀਂ ਹੋ, ਕਾਲ ਕਰੋ 888-383-9253।

 

polsku (Polish)

UWAGA: Jeżeli mówisz po polsku (Polish), udostępniliśmy darmowe usługi tłumacza. Prosimy zadzwonić pod bezpłatny numer telefonu podany na karcie identyfikacyjnej.
Jeżeli nie jesteś członkiem UHC, zadzwoń pod numer 888-383-9253.

 

português (Portuguese)

ATENÇÃO: Se você fala português (Portuguese), contate o serviço de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartão de identificação.
Caso não seja membro da UHC, ligue para 888-383-9253.

 

românește (Romanian)

ATENȚIE: Dacă vorbiți românește (Romanian), vi se pun la dispoziție, în mod gratuit, servicii de traducere. Vă rugăm să sunați la numărul gratuit tipărit pe cardul dumneavoastră de identitate.
Dacă nu sunteți membru UHC, sunați la 888-383-9253.

 

русском (Russian)

ВНИМАНИЕ: бесплатные услуги перевода доступны для людей, чей родной язык является русском(Russian). Позвоните по бесплатному номеру телефона, указанному на вашей идентификационной карте.
Если вы не являетесь участником UHC, вы можете позвонить по номеру 888-383-9253.

 

Samoa (Samoan)

FAAALIGA: Afai e te tautala Faa-Samoa (Samoan), o loo avanoa tautua mo fesoasoani tau gagana mo oe, e le totogia. Faamolemole vili le numera o le telefoni e le totogia o lisi atu i lau pepa faamaonia.
A fai e le o oe o se sui auai o le UHC, telefoni le 888-383-9253.

 

hrvatski (Croatian)

POZOR: Ako govorite hrvatski (Croatian), možete besplatno koristiti usluge prevodioca. Molimo nazovite besplatni broj telefona koji se nalazi na vašoj identifikacijskoj karti.
Ako niste član UHC-a, nazovite 888-383-9253.

 

Soomaali (Somali)

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.
Haddii aand xubin ka ahayn UHCr, wac 888-383-9253.

 

español (Spanish)

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.
Si no es miembro de UHC, llame al 888-383-9253.

 

Fulani (Sudanic-Fulfulde)

MAANDOORE: (Fulani), to aɗa haala Ingilisre, walliinde wolde, caahu, e woodi ngam  maaɗa. Kusu noddu limngal telefol ngol caahu limtaangal nder kaatiwol ID maaɗa.
To naa a memmbaajo UHC, noddu 888-383-9253.

 

Kiswahili (Swahili)

TAHADHARI: Kama unazungumza Kiswahili (Swahili), huduma ya msaada wa lugha, bure, inapatikana. Tafadhali piga namba ya bure iliyopo kwenye kadi yako.
Kama wewe si mwanachama wa UHC, piga 888-383-9253.

 

(Syriac) ܣܘܼܪܲܬܼ

 

Tagalog (Tagalog)

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.
Kung ikaw ay hindi isang miyembro ng UHC, tumawag sa 888-383-9253.

 

తెలుగు (Telugu)

ముఖ్య గమనిక: మీరు తెలుగు (Telugu) మాట్లాడే వారైతే, సహాయక సర్వీసులు ఉచితంగా లభిస్తాయి. అందుకోసం, మీ గుర్తింపుకార్డుపైగల జాబితాలోఉండే టోల్ ఫ్రీ నంబరుకి దయచేసి కాల్ చెయ్యండి.
మీరు UHC సభ్ుయడు కాకుంట్ే, 888-383-9253 కాల్ చేయండి.

 

ภาษาไทย (Thai)

โปรดทราบ: หากคุณพูดภาษาไทย (Thai) มีบริการความช่วยเหลือด้านภาษาใ
ห้แก่คุณโดยที่คุณไม่ต้องเสียค่าใช้จ่ายแต่อย่างใด โปรดโทรศัพท์ถึงหมายเลขโ
ทรฟรีที่อยู่บนบัตรประจำตัวของคุณ
หากคุณไม่ได้เป็นสมาชิกของ UHC โปรดโทรศัพท์ถึงหมายเลข 888-383-9253

 

Fakatonga (Tongan)

FAKATOKANGA: Kapau oku ke lea Fakatonga (Tongan), ‘oku iai pe ‘ae sevesi fakatonulea ‘e lava ma’u ta’etotongi atu ma’au. Kataki o tā ki he fika ta’etotongi ‘oku tuku atu ihoo kaati ID.
Kapau leva ‘oku ‘ikai ko ha mēmipa UHC koe, telefoni ki he 888-383-9253.

 

Chuuk (Chuukese)

NENENGENI:  Ika ke aea kapasen Chuuk (Chuukese), ke tongeni angei aninisin eman chon awewe, ese kamo. Kosemochen kori ewe nampa mei "toll-free" (weiweita ika ese kamo) mei mak won omw ena katen ID.
Ike en kosap emon UHC member, kosemochen kopwe kokkori 888-383-9253.

 

Türkçe (Turkish)

DİKKAT: Türkçe (Turkish) konuşuyorsanız, dil yardım hizmetleri size ücretsiz olarak sunulmaktadır. Lütfen kimlik kartınızda yer alan ücretsiz telefon numarasını arayınız.
UHC üyesi değilseniz, 888-383-9253 numarayı arayınız.

 

українською мовою (Ukrainian)

УВАГА: Якщо ви розмовляєте українською мовою (Ukrainian), у вас є можливість скористатися безкоштовними послугами перекладача. Зателефонуйте, будь ласка, за безкоштовним номером, вказаним на вашій ідентифікаційній карті.
Якщо ви не являєтесь участником UHC, телефонуйте 888-383-9253.

 

(Urdu) اردو

 

Việt (Vietnamese)

XIN LƯU Ý: Nếu quý vị nói tiếng Việt (Vietnamese), quý vị sẽ được cung cấp dịch vụ trợ giúp về ngôn ngữ miễn phí. Vui lòng gọi số điện thoại miễn phí ở mặt sau thẻ hội viên của quý vị.
Nếu quý vị không phải là hội viên của UHC, xin vui lòng gọi 888-383-9253.

 

(Yiddish) אידיש

 

Yorùbá (Yoruba)

AKIYESI: Ti o bá nsọ Yorùbá (Yoruba), irànlọwọ lóri èdè, l’ọfẹ, wà fun ọ. Jọwọ pe nọmbà ẹrọ ibánisọrọ ibodè-ọfẹ ti a tò sórí káádi idánimọ rẹ.
Tí o kò bá jẹ́ ọmọ ẹgbẹ́ UHC, pe 888-383-9253.