Nondiscrimination 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.

Download the nondiscrimination notice in other languages:

العربية Arabic (PDF, 773 KB) Հայերեն Armenian (PDF, 801 KB)
ែខរ Cambodian (PDF, 740 KB) 繁體中文 Chinese (PDF, 760 KB)
فارسی Farsi (PDF, 791 KB) हिंदी Hindi (PDF, 348 KB)
Hmong Hmong (PDF, 697 KB) 日本語 Japanese (PDF, 764 KB)
한국어 Korean (PDF, 789 KB) ພາສາລາວ Laotian (PDF, 810 KB)
Mienh Mien (PDF, 777 KB) ਪੰਜਾਬੀ ਦੇ Punjabi (PDF,919 KB)
Русский Russian (PDF, 791 KB) Español Spanish (PDF, 762 KB)
Tagalog Tagalog/Filipino (PDF, 768 KB) ภาษาไทย Thai (PDF, 826 KB)
Примітка українською (Ukrainian) (PDF, 789 KB) Tiếng Việt Vietnamese (PDF, 854 KB)

Blue Shield of California Promise Health Plan provides:

  • Free aids and services to people with disabilities to help them communicate better, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, and other formats)
  • 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 Blue Shield of California Promise Health Plan between 8 a.m. – 6 p.m., Monday through Friday. Call Customer Care in your region:

(800) 605-2556 (Los Angeles)
(855) 699-5557 (San Diego)

If you cannot hear or speak well, please call TTY:711. Upon request, this document can be made available to you in braille, large print, audiocassette, or electronic form. To obtain a copy in one of these alternative formats, please call or write to:

Blue Shield of California Promise Health Plan Customer Care
601 Potrero Grande Dr., Monterey Park, CA 91755
(800) 605-2556 (Los Angeles)
(855) 699-5557 (San Diego)
TTY: 711

 

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 TTY/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).

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.


Free interpreter services and information in other languages

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