2022 Oklahoma Health Plans Portfolio (IFB)

Discrimination is Against the Law

Medica complies with applicable Federal civil rights laws and will not discriminate against any person on the basis of race, color, national origin, age, disability or sex. Medica:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as: TTY communication and written information in other formats (large print, audio, other formats). • Provides free language services to people whose primary language is not English, such as: Qualified interpreters and information written in other languages.

If you need these services, call the number included in this document or on the back of your Medica ID card. If you believe that Medica 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, Mail Route CP250, PO Box 9310, Minneapolis, MN 55443-9310, 952-992-3422 (phone/fax), TTY 711, civilrightscoordinator@medica.com. You can file a grievance in person or by mail, fax, or email. You may also contact the Civil Rights Coordinator if you need assistance with filing a complaint. 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, 800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

If you want free help translating this information, call the number included in this document or on the back of your Medica ID card.

이정보를번역하는데무료로도움을받고싶으시면, 이문서에포함된 전화번호나 Medica ID 카드뒷면의전화번호로전화하십시오. Si vous voulez une assistance gratuite pour traduire ces informations, appelez le numéro indiqué dans ce document ou au dos de votre carte d’identification Medica. erh >tJ .’d ;w>usd ;xH pXRuvD M>eRw>*h >w>usd RtH RvXtuvD M.<ud ;vD wJ pd eD .*H >vXty. Ck mvXvH mwD vH mrD tyl RtH Rrh wrh >zJ eMed ic avH mtk .o;c;uh tvD >cH wuyRtzD cd .M.wuh >I Kung nais mo ng libreng tulong sa pagsasalin ng impormasyong ito, tawagan ang numero na kasama sa dokumentong ito o sa likod ng iyong Kard ng Medica ID. ይህን መረጃ ለመተርጎም ነጻ እርዳታ የሚፈልጉ ከሆነ በዝ ህ ሰነድ ዉስጥ ያለውን ቁጥር ወይም Medica መታወቅያ ካርድዎ በስተጀርባ ያለውን ይደውሉ። Ako želite besplatnu pomoć za prijevod ovih informacija, nazovite broj naveden u ovom dokumentu ili na poleđini svoje ID kartice Medica. D77 t’11 j77k’e sh1 ata’ hodoonih n7n7zingo 47 ninaaltsoos Medica bee n47ho’d7lzin7g7 bine’d44’ n1mboo bik1’7g78j8’ b44sh bee hod7ilnih. Wenn Sie bei der Übersetzung dieser Informationen kostenlose Hilfe in Anspruch nehmen möchten, rufen Sie bitte die in diesem Dokument oder auf der Rückseite Ihrer Medica-ID-Karte angegebene Nummer an. COMIFB-0119-I

Si desea asistencia gratuita para traducir esta información, llame al número que figura en este documento o en la parte posterior de su tarjeta de identificación de Medica. Yog koj xav tau kev pab dawb kom txhais daim ntawv no, hu rau tus xov tooj nyob hauv daim ntawv no los yog nyob nraum qab ntawm koj daim npav Medica ID. 如果您需要免費翻譯此資訊,請致電本文檔中或者在您的 Medica ID 卡背面包含的號碼。 Nếuquývịmuốn trợgiúpdịch thông tinnàymiễnphí, hãygọi vàosốcó trong tài liệunàyhoặcởmặt sau thẻ IDMedicacủaquývị. Odeeffannoo kana gargaarsa tolaan akka isinii hiikamu yoo barbaaddan, lakkoobsa barruu kana keessatti argamu ykn ka dugda kaardii Waraqaa Eenyummaa Medica irra jiruun bilbila’a. إذاكنتتريدمساعدةمجانيةفيترجمةهذهالمعلومات،فاتصلعلى الرقمالواردفيهذهالوثيقةأوعلىظهربطاقةتعريفميديكاالخاصةبك. Если Вы хотите получить бесплатную помощь в переводе этой информации , позвоните по номеру телефона , указанному в данном документе и на обратной стороне Вашей индентификационной карты Medica. ຖ້າທ່ານຕ້ອງການຄວາມຊ່ວຍເຫຼືອໃນການແປຂໍ້ມູນນີ້ຟຣີ , ໃຫ້ໂທຫາເລກໝາຍ ທີ່ມີຢູ່ໃນເອກະສານນີ້ ຫຼື ຢູ່ດ້ານຫຼັງຂອງບັດ Medica ຂອງທ່ານ.

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