Non-discrimination Notice

That's why we follow federal civil rights laws in our health programs and activities. We don't discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability. For people with disabilities, we offer free aids and services. For people whose primary language isn't English, we offer free language assistance services through interpreters and other written languages.

Please call the Member Services number on your ID card for help. (TTY/TDD: 711)

If you think we failed to offer these services or discriminated based on race, color, national origin, age, disability, or sex, you can file a civil rights complaint, also known as a grievance.

If you have a complaint that is not related to civil rights, please call the Member Services number listed on the back of your membership ID card.

You can file a civil rights complaint with our Section 1557 Coordinator in writing to Section 1557 Coordinator, 233 S. Wacker Dr, Suite 3700, Chicago, IL 60606. Email: Section1557Coordinator@Carelon.com.

Or you can file a civil rights complaint with the U.S. Department of Health and Human Services online.

Civil rights complaint forms are also available at the U.S. Department of Health and Human Services.

Write to the Office for Civil Rights at 200 Independence Avenue, SW; Room 509F, HHH Building; Washington, D.C. 20201,
or call 1-800-368-1019 (TDD: 1-800-537-7697).

Separate from our language assistance program, we make documents available in alternate formats for members with visual impairments. If you need a copy of this document in an alternate format, please call the Customer Service number on the back of your ID card.

English
You have the right to get this information and help in your language for free. Call the Customer Service number on your ID card for help. (TTY/TDD: 711)

Spanish
Usted tiene derecho a obtener esta información y ayuda en su idioma de forma gratuita. Llame al número de Servicio al Cliente en su tarjeta de identificación para pedir ayuda. (TTY/TDD: 711)

Chinese
您有權免費獲得此信息並以您的語言提供幫助。撥打身份證上的客戶服務電話以獲取幫助。(TTY/TDD: 711）

Portuguese
Tem o direito de receber gratuitamente estas informações e ajuda no seu idioma. Ligue para o número dos Serviços para Membros indicado no seu cartão de identificação para obter ajuda. (TTY/TDD: 711)

Polish
Masz prawo do bezpłatnego otrzymania niniejszych informacji oraz uzyskania pomocy w swoim języku. W tym celu skontaktuj się z Działem Obsługi Klienta pod numerem telefonu podanym na karcie identyfikacyjnej. (TTY/TDD: 711)

Vietnamese
Bạn có quyền nhận thông tin này và trợ giúp bằng ngôn ngữ của bạn miễn phí. Gọi số Dịch vụ khách hàng trên thẻ ID của bạn để được giúp đỡ. (TTY/TDD: 711)

Tagalog
May karapatan kang makuha ang impormasyong ito at makakatulong sa iyong wika nang libre. Tawagan ang numero ng Serbisyo ng Customer sa iyong ID card para sa tulong. (TTY/TDD: 711)

Korean
귀하는이 정보를 얻고 무료로 귀하의 언어로 도움을받을 권 리가 있습니다. ID 카드의 고객 서비스 번호로 전화하십시오. (TTY/TDD: 711)

Armenian
Դուք իրավունք ունեք ստանալ այս տեղեկությունները եւ օգնել ձեր լեզվով անվճար: Զանգահարեք Հաճախորդների սպասարկման համարը ձեր ID քարտի համար: (TTY/TDD: 711)

Persian (Farci)
ﺷﻣﺎ ﺣق دارﯾد اﯾن اطﻼﻋﺎت را درﯾﺎﻓت ﮐﻧﯾد و ﺑﮫ زﺑﺎن ﺧود ﺑﮫ ﺻورت راﯾﮕﺎن ﮐﻣﮏ ﮐﻧﯾد.(TTY/TDD: 711) ﺑرای ﮐﻣﮏ ﺑﮫ ﺷﻣﺎره ﺗﻠﻔن ﻣﺷﺗری در ﮐﺎرت ﺷﻧﺎﺳﺎﯾﯽ ﺧود ﺗﻣﺎس ﺑﮕﯾرﯾد.

Russian
Вы имеете право бесплатно получать эту информацию и помощь на вашем языке. Позвоните по номеру обслуживания клиентов на вашей идентификационной карте для помощи. (TTY/TDD: 711)

Japanese
あなたはこの情報を手に入れ、あなたの言語で無料で手助けする権利があります。 IDカードのカスタマーサービス番号に連絡してください。(TTY/TDD: 711）

Arabic
ﻟدﯾك اﻟﺣق ﻓﻲ اﻟﺣﺻول ﻋﻠﻰ ھذه اﻟﻣﻌﻠوﻣﺎت واﻟﻣﺳﺎﻋدة ﺑﻠﻐﺗك ﻣﺟﺎﻧًﺎ. اﺗﺻل ﺑرﻗم ﺧدﻣﺔ اﻟﻌﻣﻼء ﻋﻠﻰ (TTY/TDD: 711）ﺑطﺎﻗﺔ اﻟﮭوﯾﺔ اﻟﺧﺎﺻﺔ ﺑك ﻟﻠﺣﺻول ﻋﻠﻰ اﻟﻣﺳﺎﻋدة.

Punjabi
ਤੁਹਾਡੇ ਕੋਲ ਇਹ ਜਾਣਕਾਰੀ ਪਰ੍ਾਪਤ ਕਰਨ ਅਤੇ ਮੁਫਤ ਿਵਚ ਆਪਣੀ ਭਾਸ਼ਾ ਿਵਚ ਮਦਦ ਕਰਨ ਦਾ ਹੱਕ ਹੈ. ਸਹਾਇਤਾ ਲਈ ਆਪਣੇ ID ਕਾਰਡ 'ਤੇ ਗਾਹਕ ਸੇਵਾ ਨੰਬਰ ਤੇ ਕਾਲ ਕਰੋ (TTY/TDD: 711)

Cambodian
អ� ក�នសិទិ�ទទួល�នព័ត៌�នេនះនិងជួយក� �ង��របស់អ� កេ�យ  ឥតគិតៃថ�។េ�ទូរស័ព�េ�េលខេស�អតិថិជនេ�េល�ប័ណ� ស�� ល់ខ� ន� រ បស់អ� កស្រ�ប់ជំនួយ។ (TTY/TDD: 711)

Hmong
Koj muaj cai tau txais cov ntaub ntawv no thiab pabcuam koj hom lus dawb. Hu rau Cov Tub Sawv Cev Pab rau ntawm koj daim npav ID rau kev pab. (TTY/TDD: 711)

Hindi
आपको यह जानकारी पाने और अपनी भाषा में मुफ्त में मदद करने का अिधकार है। मदद के िलए अपने आईडी काडर् पर गर्ाहक सेवा नंबर पर कॉल करें। (TTY/TDD: 711)

Thai
คุณมีสิทธิ์ได้รับข้อมูลนี้และความช่วยเหลือในภาษาของคุณได้ฟรีโทรติดต่อหมายเลขฝ่ายบริการลูกค้าที่ระบุไว้ในบัตรประจำตัวประชาชนเพื่อขอความช่วยเหลือ (TTY/TDD: 711)

Laotian
ທ່ານມີສິດທ່ີຈະໄດ້ຮັບຂໍ້ມູນນີ້ແລະຊ່ວຍໃນພາສາຂອງທ່່ານໂດຍບ່ໍເສຍຄ່າ. ໂທຫາເບີບໍລິການລູກຄ້າໃນບັດປະຈໍາຕົວຂອງທ່ານເພືອຂໍຄວາມຊ່ວຍເຫືຼອ. (TTY/TDD: 711)

French
Vous avez le droit d’accéder gratuitement à ces informations et à une aide dans votre langue. Pour cela, veuillez appeler le numéro des Services destinés aux membres qui figure sur votre carte d’identification. (TTY/TDD: 711)

Haitian
Ou gen dwa pou resevwa enfòmasyon sa a ak asistans nan lang ou pou gratis. Rele nimewo Manm Sèvis la ki sou kat idantifikasyon ou a pou jwenn èd. (TTY/TDD: 711)

Italian
Hai il diritto di ottenere queste informazioni e aiutare nella tua lingua gratuitamente. Chiama il numero del servizio clienti sulla tua carta d'identità per aiuto. (TTY/TDD: 711)