nondiscriminiation notice

Discrimination is against the law. Blue Shield of California Promise Health Plan follows State and Federal civil rights laws. Blue Shield of California Promise Health Plan does not unlawfully discriminate, exclude people, or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation..

Blue Shield of California Promise Health Plan provides:

  • Free aids and services to people with disabilities to help them communicate better,:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, and other formats)
  • Language services at no cost to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

HOW TO FILE A GRIEVANCE

If you believe that Blue Shield of California Promise Health Plan has failed to provide these services or unlawfully discriminated in another way on the basis of race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation you can file a grievance with Blue Shield of California Promise Health Plan’s Civil Rights Coordinator. You can file a grievance by phone, in writing, in person, or electronically:

  • By phone: Contact Blue Shield of California Promise Health Plan’s Civil Rights
    Coordinator between 8 a.m. - 6 p.m., Monday – Friday by calling
    (844) 883-2233. Or, if you cannot hear or speak well, please call TYY/TDD 711.
  • In writing: Fill out a complaint form or write a letter and send it to:

    Blue Shield of California Promise Health Plan Civil Rights Coordinator
    601 Potrero Grande Dr.
    Monterey Park, CA 91755
  • In person: Visit your doctor’s office or Blue Shield of California Promise Health Plan and say you want to file a grievance.

OFFICE OF CIVIL RIGHTS - CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES

You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically:

  • By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711
    (Telecommunications Relay Service).
  • In writing: Fill out a complaint form or send a letter to:

    Deputy Director, Office of Civil Rights
    Department of Health Care Services
    P.O. Box 997413, MS 0009 Sacramento, CA 95899-7413

Complaint forms are available at http://www.dhcs.ca.gov/Pages/Language_Access.aspx.

Electronically: Send an email to CivilRights@dhcs.ca.gov.

OFFICE OF CIVIL RIGHTS - U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

If you believe you have been discriminated against on the basis of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing, or electronically:

  • By phone: Call 1-800-368-1019. If you cannot speak or hear well, please call TTY/TDD
    1-800-537-7697.

 

Download the non-discrimination notice in other languages

Arabic (PDF, 108 KB) العربية Հայերեն Armenian (PDF, 82 KB)
ែខរ Cambodian (PDF, 101 KB) 繁體中文 Chinese (PDF, 163 KB)
Farsi (PDF, 90 KB) فارسی हिंदी Hindi (PDF, 69 KB)
Hmong Hmong (PDF, 43 KB) 日本語 Japanese (PDF, 138 KB)
한국어 Korean (PDF, 158 KB) ພາສາລາວ Laotian (PDF, 175 KB)
Mienh Mien (PDF, 40 KB) ਪੰਜਾਬੀ ਦੇ Punjabi (PDF, 61 KB)
Русский Russian (PDF, 71 KB) Español Spanish (PDF, 33 KB)
Tagalog Tagalog/Filipino (PDF, 42 KB) ภาษาไทย Thai (PDF, 74 KB)
Примітка українською (Ukrainian) (PDF, 95 KB) Tiếng Việt Vietnamese (PDF, 124 KB)

Free interpreter services and information in other languages

Blue Shield of California Promise Health Plan provides free language services to people whose primary language is not English. Contact us for assistance.