Discrimination is against the law

AmeriHealth Caritas Florida complies with applicable federal civil rights laws and does not discriminate, exclude people, or treat them differently based on race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex, gender identity or expression, or sexual orientation. AmeriHealth Caritas Florida:

• Provides free (no-cost) 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 (no-cost) 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 AmeriHealth Caritas Florida at 1-855-***-****

(TTY 1-855-***-****). We are available 24 hours a day, seven days a week. If you believe that AmeriHealth Caritas Florida has failed to provide these services or has discriminated against you in another way, you or your authorized representative (if we have your written authorization on file) can file a grievance with:

• Grievances and Appeals, P.O. Box 7368, London, KY 40742. Phone: 1-855-***-****

(TTY 1-855-***-****), or Fax: 1-855-***-****.

• You can file a grievance by mail, fax, or phone. If you need help filing a grievance, AmeriHealth Caritas Florida 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, D.C. 20201

1-800-***-**** (TTY 1-800-***-****)

Complaint forms are available at:

http://www.hhs.gov/ocr/office/file/index.html.

Multilanguage interpreter services

www.amerihealthcaritasfl.com Florida

Multilanguage interpreter services

English: This information is

available for free in other

languages. Please contact our

customer service number at

1-855-***-**** (TTY

1-855-***-****), 24 hours a

day, seven days a week. If your

primary language is not English,

or to request auxiliary aids,

assistance services are available

to you, free of charge.

Spanish: Esta información está

disponible en otros idiomas

de forma gratuita. Póngase en

contacto con nuestro número de

servicios al cliente al

1-855-***-**** (TTY

1-855-***-****), las 24 horas

del día, los siete días de la

semana. Si su idioma principal no

es el inglés, o necesita solicitar

ayudas auxiliares, hay servicios

de asistencia a su disposición de

forma gratuita.

Haitian Creole: Enfòmasyon sa

yo disponib gratis nan lòt lang.

Tanpri kontakte ekip sèvis kliyan

nou an nan 1-855-***-****

(TTY 1-855-***-****), 24

è sou 24, sèt jou sou sèt. Si

anglè pa lang manman w oswa

si w ta renmen mande yon èd

konplemantè, ou ka resevwa

sèvis ki gratis pou ede w.

French: Ces informations sont

disponibles gratuitement dans

d’autres langues. Veuillez

contacter notre équipe service

clientèle au 1-855-***-****

(TTY 1-855-***-****), 24 heures

sur 24, sept jours sur sept. Si

l’anglais n’est pas votre langue

maternelle ou si vous souhaitez

demander une aide auxiliaire, des

services d’aide sont gratuitement

mis à votre disposition.

www.amerihealthcaritasfl.com Florida

Multilanguage interpreter services

English: This information is

available for free in other

languages. Please contact our

customer service number at

1-855-***-**** (TTY

1-855-***-****), 24 hours a

day, seven days a week. If your

primary language is not English,

or to request auxiliary aids,

assistance services are available

to you, free of charge.

Spanish: Esta información está

disponible en otros idiomas

de forma gratuita. Póngase en

contacto con nuestro número de

servicios al cliente al

1-855-***-**** (TTY

1-855-***-****), las 24 horas

del día, los siete días de la

semana. Si su idioma principal no

es el inglés, o necesita solicitar

ayudas auxiliares, hay servicios

de asistencia a su disposición de

forma gratuita.

Haitian Creole: Enfòmasyon sa

yo disponib gratis nan lòt lang.

Tanpri kontakte ekip sèvis kliyan

nou an nan 1-855-***-****

(TTY 1-855-***-****), 24

è sou 24, sèt jou sou sèt. Si

anglè pa lang manman w oswa

si w ta renmen mande yon èd

konplemantè, ou ka resevwa

sèvis ki gratis pou ede w.

French: Ces informations sont

disponibles gratuitement dans

d’autres langues. Veuillez

contacter notre équipe service

clientèle au 1-855-***-****

(TTY 1-855-***-****), 24 heures

sur 24, sept jours sur sept. Si

l’anglais n’est pas votre langue

maternelle ou si vous souhaitez

demander une aide auxiliaire, des

services d’aide sont gratuitement

mis à votre disposition.

Vietnamese: Thông tin này có

sẵn miễn phí ở các ngôn ngữ

khác. Vui lòng liên lạc bộ phận

dịch vụ khách hàng của chúng

tôi theo số 1-855-***-****

(TTY 1-855-***-****), 24 giờ

một ngày, bảy ngày trong tuần.

Nếu ngôn ngữ chính của quý vị

không phải là tiếng Anh, hoặc để

yêu cầu các thiết bị trợ giúp bổ

sung, thì quý vị có thể sử dụng

miễn phí các dịch vụ hỗ trợ.

www.amerihealthcaritasfl.com

ACFL_211110752-1

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