Astiva Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Astiva Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact Member Services at 1-866-688-9021, TTY 711 .
If you believe that Astiva Health 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:
Astiva Health Compliance Department
765 The City Drive South, #200
Orange, CA 92868
Phone:
1-866-688-9021, TTY:
711
Email: Compliance@astivahealth.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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 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 www.hhs.gov/ocr/office/file/index.html.
Anti-Discrimination Policy - Chinese
Anti-Discrimination Policy - English
Anti-Discrimination Policy - Korean
Anti-Discrimination Policy - Spanish
Anti-Discrimination Policy - Vietnamese
Astiva Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Astiva Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact Member Services at 1-866-688-9021, TTY 711 .
If you believe that Astiva Health 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:
Astiva Health Compliance Department
765 The City Drive South, #200
Orange, CA 92868
Phone:
1-866-688-9021, TTY:
711
Email: Compliance@astivahealth.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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 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 www.hhs.gov/ocr/office/file/index.html.
Anti-Discrimination Policy - Chinese
Anti-Discrimination Policy - English
Anti-Discrimination Policy - Korean
Anti-Discrimination Policy - Spanish
Anti-Discrimination Policy - Vietnamese
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