Let’s get started! The medications you take, the pharmacy you use and your doctor(s) can impact your total cost. To provide the most accurate estimated plan costs, please complete the following fields to tell us more about your needs.
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If you are vision-impaired or have some other impairment and you wish to discuss potential accommodations related to using this website, please email us at [email protected].
Humana Inc. and its subsidiaries do not discriminate or exclude people because of their race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, marital status or religion. Discrimination is against the law. Humana and its subsidiaries comply with applicable Federal Civil Rights laws. If you believe that you have been discriminated against by Humana or its subsidiaries, there are ways to get help.
• You may file a complaint, also known as a grievance: Discrimination Grievances, P.O. Box 14618, Lexington, KY 40512-4618 If you need help filing a grievance, call 1-877-320-1235 or if you use a TTY, call 711.
• You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through their Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or at U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at https://www.hhs.gov/ocr/office/file/index.html.
• California residents: You may also call California Department of Insurance toll-free hotline number: 1-800-927-HELP (4357), to file a grievance.
Auxiliary aids and services, free of charge, are available to you. 1-877-320-1235 (TTY: 711)
Humana provides free auxiliary aids and services, such as qualified sign language interpreters, video remote interpretation, and written information in other formats to people with disabilities when such auxiliary aids and services are necessary to ensure an equal opportunity to participate.GCHK9WZEN 0220
Aetna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Aetna does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Aetna:
• Provides free 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 language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, please contact us through the Contact information on this website.
If you believe that Aetna has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Aetna Medicare Grievance Department, P.O. Box 14067, Lexington, KY 40512. You can also file a grievance by phone by calling the phone number listed within this website. If you need help filing a grievance, call the phone number listed on this website.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health Care plans and their affiliates (Aetna).
TTY: 711
If you speak a language other than English, free language assistance services are available. Visit our website or call the phone number listed in this document.
United Healthcare does not treat members differently because of sex, age, race, color, disability or national origin.
If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator.
o Online: [email protected]
o Mail: Civil Rights Coordinator. UnitedHealthcare Civil Rights Grievance. P.O. Box
30608, Salt Lake City, UT 84130
You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again.
If you need help with your complaint, please call the member toll-free phone number listed on your ID card.
You can also file a complaint with the U.S. Dept. of Health and Human Services.
o Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
o Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)
o Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue. SW Room
509F, HHH Building, Washington, D.C. 20201
We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the member toll-free phone number listed on your ID card.
Notice of Nondiscrimination: Discrimination is Against the Law
Cigna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Cigna does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Cigna:
• Provides free 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 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 Customer Service at 1-800-668-3813 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
If you believe that Cigna has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Cigna
Attn: Grievance Department
PO Box 188080
Chattanooga, TN 37422
Phone: 1-800-668-3813 (TTY 711) Fax: 1-888-586-9946.
You can file a grievance in writing by mail or fax. If you need help filing a grievance, Customer Service 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
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you.
Call 1-800-668-3813 (TTY 711), 8 a.m. to 8 p.m., 7 days a week. ATENCIÓN: siustedhabla un idioma que no sea inglés, tiene a sudisposiciónserviciosgratuitos de asistencialingüística.
Llame al 1-800-668-3813 (TTY 711), 8 a.m. a 8 p.m., 7 días de la semana. Cigna is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna depends on contract renewal. © 2017 Cigna
INT_17_49135 v05012020 20_NDMLI_MAPD
Discrimination is Against the Law
Blue Cross Blue Shield of Michigan and Blue Care Network comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Cross Blue Shield of Michigan and Blue Care Network do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Blue Cross Blue Shield of Michigan and Blue Care Network:
• Provide free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters
o Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provide free language services to people whose primary language is not English, such as: o Qualified interpreters
o Information written in other languages
If you need these services, contact the Office of Civil Rights Coordinator.
If you believe that Blue Cross Blue Shield of Michigan or Blue Care Network have failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Office of Civil Rights Coordinator
600 E. Lafayette Blvd.
MC 1302
Detroit, MI 48226
1-888-605-6461, TTY: 711
Fax: 1-866-559-0578
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Office of Civil Rights Coordinator 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
1-800-368-1019, 1-800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
DF 16059 DEC 16 Y0074_C_MINonDiscrimNotice FVNR 1216
Discrimination is Against the Law
WellCare Health Plans, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. WellCare Health Plans does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
WellCare Health Plans, Inc.:
• Provides free 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 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 WellCare Customer Service for help or you can ask Customer Service to put you in touch with a Civil Rights Coordinator who works for WellCare.
If you believe that WellCare Health Plans, Inc., has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
WellCare Health Plans, Inc.
Grievance Department
P.O. Box 31384
Tampa, FL 33631-3384
Telephone: 1-866-530-9491 TTY: 711 Fax: 1-866-388-1769 Email: [email protected]
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, a WellCareCivil Rights Coordinator 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 CivilRights 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, DC 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
* This Nondiscrimination Notice also applies to all subsidiaries of WellCare Health Plans, Inc.
WCM_15342E
©YW00e7ll0C_aWreC2M0_184 0136E_C NA0WCNMJ9INWS3C6M99IN4ES_15C3M42BEO_0000
©WellCare 2019
Privacy Policy Terms of Use Nondiscrimination/Accessibility Aetna Preferred Pharmacy Disclaimer Allina Health Dislcaimers Innovation Health Disclaimers
SelectQuote Senior Insurance Services is a division of SelectQuote Insurance Services.
SelectQuote Senior is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans with a Medicare contract. lment in these plans depend on contract renewal.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call the plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
Medicare Advantage organizations and/or Medicare Part D plan sponsors comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, sexual orientation, gender identity, or religion. For more information, click here.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-685-9710 (TTY: 1-877-486-2048) M-F 8am-5pm CT.
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 1-855-685-9710 (TTY: 1-877-486-2048) M-F 8am-5pm CT.
This information is available for free in other languages. Please call our customer service number at 1-855-685-9710 (TTY: 1-877-486-2048) M-F 8am-5pm CT.
This information is not a complete description of benefits. Call 1-855-685-9710 (TTY: 1-877-486-2048) M-F 8am-5pm CT.
For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
Medicare beneficiaries may also enroll through the CMS Medicare Online Enrollment Center located at .
Every year, Medicare evaluates plans based on a 5-star rating system.
You are not required to provide any health related information unless it will be used to determine enrollment eligibility.
Sales agents/producers may be compensated based on your enrollment in a health plan.
©2020 SelectQuote Senior Insurance Services. All rights reserved.
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