Notice of Nondiscrimination

Discrimination is Against the Law

Allina Health Aetna Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with 45 CFR § 92.101(a)(2)). Allina Health Aetna Insurance Company does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex. 

Allina Health Aetna Insurance Company:

• Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services 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 assistance services to people whose primary language is not English, which may include: 
   

  • Qualified interpreters 

  • Information written in other languages. 

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact 1-833-570-6671 ${tty}.

If you believe that Allina Health Aetna Insurance Company 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:

Civil Rights Coordinator 

Attn: 1557 Coordinator 

CVS Pharmacy, Inc. 

1 CVS Drive, MC 2332,

Woonsocket, RI 02895

1-833-570-6671 ${tty}

Email: Coordinator1557@cvshealth.com

You can file a grievance in person or by mail, phone, or email. If you need help filing a grievance, the 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, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

This notice is available at Allina Health Aetna Insurance Company website: https://www.allinahealthaetnamedicare.com.

TTY: 711

ENGLISH:

If you speak a language other than English, free language assistance services are available. Visit our website or call the phone number on your member identification card.

SPANISH:

Si habla un idioma que no sea inglés, se encuentran disponibles servicios gratuitos de asistencia de idiomas. Visite nuestro sitio web o llame al número de teléfono que figura en su tarjeta de identificación de miembro.

TRADITIONAL CHINESE:

如果您使用英文以外的語言，我們將提供免費的語言協助服務。請瀏覽我們的網站或撥打您會員卡上的電話號碼。

TAGALOG:

Kung hindi Ingles ang wikang inyong sinasalita, may maaari kayong kuning mga libreng serbisyo ng tulong sa wika. Bisitahin ang aming website o tawagan ang numero ng telepono na nasa inyong identification card bilang miyembro.

FRENCH:

Si vous parlez une autre langue que l'anglais, des services d'assistance linguistique gratuits vous sont proposés. Visitez notre site Internet ou appelez le numéro figurant sur votre carte d'identification de membre.

VIETNAMESE:

Nếu quý vị nói một ngôn ngữ khác với Tiếng Anh, chúng tôi có dịch vụ hỗ trợ ngôn ngữ miễn phí. Xin vào trang mạng của chúng tôi hoặc gọi số điện thoại trên thẻ hội viên của quý vị.

GERMAN:

Wenn Sie eine andere Sprache als Englisch sprechen, stehen Ihnen kostenlose Sprachdienste zur Verfügung. Besuchen Sie unsere Website oder rufen Sie die Telefonnummer auf Ihrem Mitgliederausweis an.

KOREAN:

영어가 아닌 언어를 쓰시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 저희 웹사이트를 방문하시거나 귀하의 ID 카드에 기재되어 있는 번호로 전화해 주십시오.

RUSSIAN:

Если вы не владеете английским и говорите на другом языке, вам могут предоставить бесплатную языковую помощь. Посетите наш веб-сайт или позвоните по номеру, указанному на вашей идентификационной карточке участника плана.

ARABIC:

إذا كنت تتحدث لغة غير الإنجليزية، فإن خدمات المساعدة اللغوية المجانية متاحة. تفضل بزيارة موقعنا على الويب أو اتصل برقم الهاتف الموضح على بطاقة هوية العضو الخاصة بك.

AMHARIC:

ከእንግሊዝኛ ሌላ ቋንቋ የሚናገሩ ከሆነ ነጻ የቋንቋ ድጋፍ አገልግሎቶችን ማግኘት ይቻላል። የእኛን ድረ-ገጽ ይጎብኙ ወይም በእርስዎ የአባልነት መታወቂያ ካርድ ላይ ያለውን ስልክ ቁጥር በመጠቀም ይደውሉ።

KHMER:

បើអ្នកនិយាយភាសាផ្សេងក្រៅពីភាសាអង់គ្លេស សេវាកម្មជំនួយផ្នែកភាសាមានផ្ដល់ជូនអ្នកដោយឥតគិតថ្លៃ។ សូមចូលមើលគេហទំព័ររបស់យើង ឬហៅទៅកាន់លេខទូរស័ព្ទដែលមាននៅលើប័ណ្ណសម្គាល់សមាជិករបស់អ្នក។

HMONG:

Yog hais tias koj hais ib hom lus uas tsis yog lus Askiv, muaj cov kev pab cuam txhais lus dawb pub rau koj. Mus saib peb lub website los yog hu rau tus xov tooj nyob rau saum koj tus kheej daim npav tswv cuab.

LAO:

ຖ້າທ່ານເວົ້າພາສານອກເໜືອຈາກອັງກິດ, ການບໍຣິການ ຊ່ວຍເຫຼືອດ້ານພາສາໂດຍບໍ່ເສັຽຄ່າແມ່ນມີໃຫ້ທ່ານ. ໄປທີ່ເວັບໄຊທ໌ຂອງພວກເຮົາ ຫຼື ໂທຕາມເບີທີ່ຢູ່ເທິງບັດໄອດີສະມາຊິກຂອງທ່ານ.

CUSHITE-OROMO:

Yoo afaan Ingiilifa allati affan birraa dubbattan tajaajili garggarsa afaani(qooqqa) biliissan niarggama. Kannafu websitti keenya illala hookan telefoona waarraqa miseensa irra jirran bilbilla.

KAREN:

နမ့ၢ် တကတိၤ ကိၤလၤကျိာ်န့ၣ် ကျိာ်တၢ်ဟ့ၣ်ကူၣ်,တလိၣ်ဟ့ၣ်အလဲ လၢ ကမၤစၢၤနၤအိၣ်န့ၣ်လီၤ. န မၤကဲထီၣ်နသး ကရၢဖိတဂၤ ခီဖျိ နနုာ်ကွၢ်မၤလိလၢ ပ ဝဲးဘဆး အပူၤမ့ၢ်ဂ့ၤ ဆဲးကျိးပှၤလၢ ကွဲၤဒီနၢ်မ့ၢ်ဂ့ၤ သ့ဝဲလီၤ.