Non-discrimination and language assistance notice

Discrimination is against the law

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people or treat them differently, on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability or physical disability.

Blue Shield of California Promise Health Plan provides:

• Aids and services at no cost 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, 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

If you need these services, contact the Blue Shield of California Promise Health Plan Civil Rights Coordinator:

Phone: (855) 905-3825 [TTY: 711], 8 a.m. to 8 p.m., seven days per week.

If you believe that Blue Shield of California Promise Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability or physical disability, you can file a grievance in person or by mail, fax, or email. You can also complete and submit a grievance form online. If you need help filing a grievance, the Civil Rights Coordinator is available to help you.

Online grievance form

  Phone: (844) 883-2233 [TTY: 711], 7 a.m. to 8 p.m., Monday through Friday.
  Fax: (323) 889-2228
  Email: BSCPHPCivilRights@blueshieldca.com
  Blue Shield of California Promise Health Plan
Civil Rights Coordinator/span>
601 Potrero Grande Dr./span>
Monterey Park, CA 91755/span>

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, or by mail or phone. Download a complaint form

  Phone: (800) 368-1019 [TTY: (800) 537-7697]
  U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

Download the non-discrimination notice in other languages

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.

Language assistance notice (PDF, 400KB)

English:
ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call (855) 905-3825 [TTY: 711].

Español (Spanish):
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (855) 905-3825 [TTY: 711].

繁體中文 (Chinese):
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 (855) 905-3825 [TTY：711]。

Tiếng Việt (Vietnamese):
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (855) 905-3825 [TTY: 711].

Tagalog (Tagalog – Filipino):
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (855) 905-3825 [TTY: 711].

한국어 (Korean):
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (855) 905-3825 [TTY: 711] 번으로 전화해 주십시오.

Հայերեն (Armenian):
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք (855) 905-3825 (TTY (հեռատիպ)՝ 711):

Français (French):
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (855) 905-3825 [TTY: 711]

Deutsch (German):
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (855) 905-3825 [TTY: 711].

Italiano (Italian):
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (855) 905-3825 [TTY: 711].

Português (Portuguese):
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para (855) 905-3825 [TTY: 711].

ภาษาไทย (Thai):
ความสนใจ: ถ้าคุณพูดภาษาอังกฤษบริการให้ความช่วยเหลือภาษาฟรีมีให้คุณ โทร (855) 905-3825 [TTY: 711]

ایرانی / فارسی (Persian/Farsi):
وجه: اگر شما انگلیسی، خدمات کمک زبان، رایگان صحبت می کنند، در دسترس شما هستند. پاسخ (855) 905-3825 [TTY: 711].

Русский (Russian):
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (855) 905-3825 (телетайп: 711).

日本語 (Japanese):
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。(855) 905-3825 [TTY: 711]まで、お電話にてご連絡ください。

زبان عربی (Arabic):
تنبيه: إذا كنت تتحدث خدمات المساعدة اللغوية، مجانا الإنكليزية وتتوفر لك. دعوة (855) 905-3825 [TTY: 711].

ਪੰਜਾਬੀ (Punjabi):
ਧਿਆਨ: ਜੇਕਰ ਤੁਹਾਨੂੰ ਦਾ ਅੰਗਰੇਜ਼ੀ, ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾ, ਮੁਫ਼ਤ ਗੱਲ ਕਰ, ਜੇ, ਤੁਹਾਡੇ ਲਈ ਉਪਲੱਬਧ ਹਨ. ਕਾਲ ਕਰੋ (855) 905-3825 [TTY: 711].

​ខ្មែរ (Cambodian/Khmer):
របយ័តន៖ េបើសិនជាអនកនិយាយ ភាសាែខមរ, េសវាជំនួយែផនកភាសា េដាយមិនគិតឈន លួ គឺអាចមានសំរាប់បំេរអី នក។ ចូ រ ទូរស័ពទ (855) 905-3825 (TTY: 711)។

Hmoob (Hmong):
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (855) 905-3825 [TTY: 711]

हिंदी (Hindi):
ध्यान दें: आप अंग्रेजी, भाषा सहायता सेवाओं, नि: शुल्क बोलते हैं, तो आप के लिए उपलब्ध हैं। कॉल (855) 905-3825 [TTY: 711]।

Kreyòl Ayisyen (French Creole):
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele (855) 905-3825 [TTY: 711].

Polski (Polish):
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer (855) 905-3825 [TTY: 711].