kaiser permanente: questions and...

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Questions and answersThese questions and answers will help you get started with your FSA, plus give you

information to help you use and manage your account.

Getting startedHow do I start using my FSA?

1. Once your employer has set up your FSA, sign on to the Health Payment Online Portal at kp.org/healthpayment using your kp.org user ID and password.1,2 Once you create your security questions and answers, you can download an FSA Online User Guide for instructions on managing your account. Youll find this guide under Tools & Support.

2. Update your profile on kp.org/healthpayment1 to add your email address or mobile phone number. Next, set your notification preferences to get important alerts about your FSA by text or email.

3. Download the KP HRA/HSA/FSA Balance Tracker app to your mobile device so you can manage your account from wherever you are. The first time you log in to the app, your temporary username and password will both be: the first initial of your first name, plus your first name, plus the last 4 digits of your Social Security number.

Understanding your FSA

What is an FSA?An FSA is a financial account offered by your employer. Your employer opens the account so you can put money in to pay for different types of services (depending on what kind of FSA they offer). The advantage is that you wont pay taxes on the money that you put in the account.3

You can use a medical FSA to pay for types of care that the IRS defines as qualified medical expenses. This includes doctors office visits, prescription drugs, lab tests, and much more.4

With a dependent-care FSA, you can pay for services defined by the IRS as qualified dependent-care expenses, such as child care.5

When can I start using the money in my FSA?You can begin using the money in your FSA the day your plan starts.

Have questions?

Kaiser Permanente Health Payment Services1-877-761-3399Monday through Friday, 5 a.m. to 7 p.m. Pacific time (except holidays)

[email protected]

Managing your flexible spending account (FSA) administered through Kaiser Permanente

https://kp.org/healthpaymenthttps://kp.org/healthpaymenthttps://kp.org/healthpaymentmailto: [email protected]



Who puts money into my FSA and how much is in my account?Your FSA is owned by your employer and funded by you, although your employer may also contribute money to your account. Each plan year, your employer will determine the maximum amount you can contribute to your FSA, up to the federal maximum annual contribution limit. See your employers benefit plan documents for more information, including details on how to contribute to your FSA.

How can I get account information on my FSA, such as my balance?You can access your account information online 24 hours a day, 7 days a week at kp.org/healthpayment.1 Youll be able to view your balance, file claims, view transaction history, and more.

You can also use the KP HRA/HSA/FSA Balance Tracker app or call Health Payment Services to check your balance and file a claim. Your account balance will also be provided to you each time you request a cost estimate for services at kp.org/costestimate. Please note that your FSA balance wont appear on your Explanation of Benefits (EOBs) or bills.

What if theres money left in my FSA at the end of the year?Most FSAs have a use it or lose it policy, which means any money in your account that isnt used during the year will be lost and wont carry over to the next year. If your employer offers a grace period, youll have extra time after the end of the year to use the money in your FSA. Alternatively, if you have a medical FSA, your employer may allow a limited portion of any unused money to carry over into the next year.6

What if I leave my current employer or retire and still have money in my FSA?You can be reimbursed for services you pay for before you leave the company or retire, but any remaining balance in your account will be lost. See your employers FSA plan documents for more information.

https://kp.org/healthpaymenthttps://kp.org/healthpaymenthttps://kp.org/costestimate



Paying for careWhen should I submit claims for reimbursement? You can submit claims for out-of-pocket expenses anytime within the same coverage period that you received the qualified services. You may also have an extra window of time after your plan year ends, known as a run-out period.7 Contact your employers benefits administrator for details.

How do I file a claim for reimbursement?You can file a claim 3 ways:

1. Online at kp.org/healthpayment1

2. Through the KP HRA/HSA/FSA Balance Tracker app

3. By calling Health Payment Services and requesting a claim form

For all claims that you file, youll need to provide supporting documents to show that your expenses are qualified expenses.

What kind of paperwork will I need in order to submit or to validate a claim?Your Explanation of Benefits (EOBs), bills, and itemized receipts have the necessary details to validate that your expenses are qualified expenses. These documents should be provided with any claim you file, as well as anytime you receive a letter or email from Health Payment Services requesting supporting documentation.

How long will it take for my FSA claim to be approved? FSA reimbursement claims are typically processed within 1 business day. If the supporting documents you provided cant be used to validate your claim, your claim approval will be delayed and youll be asked to provide new documents. Once Health Payment Services receives supporting documents confirming your expense is a qualified expense, your claim will be processed and approved.

How do I use my FSA to pay for eligible expenses?

There are a couple of ways to pay for eligible expenses with your FSA, depending on which type of FSA your employer offers:

Health payment card

If you have a medical FSA and your employer offers our Kaiser Permanente health payment card, you can use this debit card either to:

Pay for services when you go in for care, or Pay a bill by mail by writing the card number on the bill and sending it in.

Reimbursement You can pay out of pocket (using your own money) and get reimbursed from your FSA later. If you have a dependent-care FSA, you wont receive a health payment card, so reimbursement will be your only option when using your FSA. For more details about filing a claim for reimbursement, see the questions and answers above and on the next page.

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What if I receive a request for supporting documents for a submitted claim or expense paid with a health payment card?For certain claims, you may receive a letter or email from Health Payment Services requesting supporting paperwork. This will typically happen if the documents you submitted cant be used to validate your claim or if additional details are needed. Please be sure to respond promptly to these requests by providing an Explanation of Benefits (EOB), bill, or itemized receipt for the expense. You can get additional details about such requests online at kp.org/healthpayment, or by calling Health Payment Services.

If a payment I make with my health payment card or a claim I submit is denied, can I appeal the denial? If a filed claim for reimbursement or an expense paid with a health payment card is denied, it is typically because the supporting documentation provided could not be used to validate that the expense was a qualified expense. Before your claim is denied, youll receive a request for supporting documentation at 30, 60, and 90 days from the transaction date. To appeal your claim denial, simply send supporting documentation to Health Payment Services using the contact information below.

Fax: 1-877-535-0821 Mailing address: Kaiser Permanente P.O. Box 1540 Fargo, ND 58107-1540

Your health payment card will be suspended 180 days from the date of the disputed transaction if we dont receive the proper supporting documents, or if you dont reimburse your FSA or your employer. Contact Health Payment Services for more information.

Your health payment cardIf you have a medical FSA, your account may come with the Kaiser Permanente health payment card, which you can use to pay for care.4

Where can I use my health payment card?You can use your health payment card at Kaiser Permanente facilities and pharmacies, or at any other provider or facility that accepts Visa debit cards. Keep in mind that FSA money can be used only for types of care that are defined by the IRS as qualified medical expenses.4

What if my health payment card isnt accepted by a health care provider or facility?If you have trouble using your card, it may be because it hasnt been activated, or because the provider or facility doesnt accept Visa debit cards.

If your health payment card isnt accepted, youll need to pay the entire amount out of pocket using another payment method.

You can then request reimbursement from your FSA by following the instructions under How do I file a claim for reimbursement on page 3.

https://kp.org/healthpaymenthttps://kp.org/healthpayment


5

If I have a medical FSA and a health reimbursement arrangement (HRA), which account pays first?If you have both a medical FSA and an HRA, your employer will determine which account will pay first. Contact your employers benefits administrator for more information.

An HRA is an account that gives you money to pay for care. Your employer sets up the account and puts money into it. Because the money isnt part of your wages, you wont pay taxes on it.3 You can use this money to help pay your health care costs.

Can I use my health payment card to pay medical bills that I get in the mail?Yes. If you receive a bill for care thats defined as a qualified medical expense and want to pay it using your FSA, simply write your health payment card number in the payment section of the bill. Then mail it in to the address provided on the bill. Be sure to keep copies of your Explanation of Benefits (EOBs), bills, and itemized receipts, in case you need them to validate your claim.

How do I order additional health payment cards?If you need additional health payment cards, you can order them online or by phone. You should receive 2 cards by the start date of your FSA, and you can order 2 extra cards at no charge. After this, youll be charged $10 for each additional 2-card order. Sign on to kp.org/healthpayment1 or contact Health Payment Services to place your order.

What should I do if my health payment card is lost or stolen?Contact Health Payment Services to report any loss or theft of your health payment card as soon as possible. Once you report it, your card will be suspended and you wont be responsible for transactions after this date.

If you wish to dispute a transaction that has taken place within the last 60 days, contact Health Payment Services to obtain a Debit Card Dispute Form. Youll have 21 days to return the form and have the transaction investigated. During the investigation period, youll be given a provisional credit. If the charge is determined to be fraudulent, the credit will remain in your FSA. If the transaction is determined to be valid, the amount will be debited from your FSA.

1 If you are not enrolled in a Kaiser Permanente health plan, youll need to access and manage your FSA at kp.org/healthexpense. When you sign on for the first time, your temporary username and password will both be: the first initial of your first name, plus your first name, plus the last 4 digits of your Social Security number.

2 It may take up to 9 days from when you register on kp.org before access to your account will be available through kp.org/healthpayment. The tax references in this document relate to federal income tax only. Federal and state tax laws and regulations are subject to change. Consult with a qualified professional for tax or legal advice.

4 If you have a medical FSA, you can use it to pay for types of care that are defined as qualified medical expenses. These are defined under Internal Revenue Code Section 213(d) in IRS Publication 502, Medical and Dental Expenses, available at irs.gov/publications. Consult with your employers benefits administrator to find out what type of FSA you have.

5 If you have a dependent-care FSA, you can use it to pay for types of care that are defined as qualified dependent-care expenses. These are defined in IRS Publication 503, Child and Dependent Care Expenses, available at irs.gov/publications. Consult with your employers benefits administrator to find out what type of FSA you have.

6 Any grace period or amount of unused FSA money that may carry over into the next plan year will be determined by your employer. Contact your employers benefits administrator for more information.

7 Your run-out period is determined by your employer. Contact your employers benefits administrator for more information.

Colorado state law requires that an Access Plan be available that describes Kaiser Foundation Health Plan of Colorados network of provider Services. To obtain a copy, please call Member Services or visit kp.org.

Kaiser Permanente health plans around the country, including: Kaiser Foundation Health Plan, Inc., in Northern and Southern California Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232

Please recycle. 60656308 September 2017

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Language Assistance

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English: Language assistance

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24 hours a day, 7 days a week.

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alternative formats. Just call us

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Puede solicitar los servicios de un intrprete, que los materiales se traduzcan a su idioma o en formatos

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thc khc. Qu v ch cn gi cho chng ti ti s

1-800-464-4000, 24 gi mi ngy, 7 ngy trong tun

(tr cc ngy l). Ngi dng TTY xin gi 711.

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Kaiser Permanente does not discriminate on the basis of age, race, ethnicity, color, national origin, cultural background, ancestry, religion, sex, gender identity, gender expression, sexual orientation, marital status, physical or mental disability, source of payment, genetic information, citizenship, primary language, or immigration status.

Language assistance services are available from our Member Services Contact Center 24 hours a day, seven days a week (except closed holidays). Interpreter services, including sign language, are available at no cost to you during all hours of operation. We can also provide you, your family, and friends with any special assistance needed to access our facilities and services. In addition, you may request health plan materials translated in your language, and may also request these materials in large text or in other formats to accommodate your needs. For more information, call 1-800-464-4000 (TTY users call 711).

A grievance is any expression of dissatisfaction expressed by you or your authorized representative through the grievance process. A grievance includes a complaint or an appeal. For example, if you believe that we have discriminated against you, you can file a grievance. Please refer to your Evidence of Coverage or Certificate of Insurance, or speak with a Member Services representative for the disputeresolution options that apply to you. This is especially important if you are a Medicare, MediCal, MRMIP, MediCal Access, FEHBP, or CalPERS member because you have different disputeresolution options available.

You may submit a grievance in the following ways: By completing a Complaint or Benefit Claim/Request form at a Member Services office located at a Plan

Facility (please refer to Your Guidebook for addresses) By mailing your written grievance to a Member Services office at a Plan Facility (please refer to Your

Guidebook for addresses)

By calling our Member Service Contact Center toll free at 1-800-464-4000 (TTY users call 711)

By completing the grievance form on our website at kp.org

Please call our Member Service Contact Center if you need help submitting a grievance.

The Kaiser Permanente Civil Rights Coordinator will be notified of all grievances related to discrimination on the basis of race, color, national origin, sex, age, or disability. You may also contact the Kaiser Permanente Civil Rights Coordinator directly at One Kaiser Plaza, 12th Floor, Suite 1223, Oakland, CA 94612.

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.

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Kaiser Permanente no discrimina a ninguna persona por su edad, raza, etnia, color, pas de origen, antecedentes culturales, ascendencia, religin, sexo, identidad de gnero, expresin de gnero, orientacin sexual, estado civil, discapacidad fsica o mental, fuente de pago, informacin gentica, ciudadana, lengua materna o estado migratorio.

La Central de Llamadas de Servicio a los Miembros (Member Service Contact Center) brinda servicios de asistencia con el idioma las 24 horas del da, los siete das de la semana (excepto los das festivos). Se ofrecen servicios de interpretacin sin costo alguno para usted durante el horario de atencin, incluido el lenguaje de seas. Tambin podemos ofrecerle a usted, a sus familiares y amigos cualquier ayuda especial que necesiten para acceder a nuestros centros de atencin y servicios. Adems, puede solicitar los materiales del plan de salud traducidos a su idioma, y tambin los puede solicitar con letra grande o en otros formatos que se adapten a sus necesidades. Para obtener ms informacin, llame al 1-800-788-0616 (los usuarios de la lnea TTY deben llamar al 711).

Una queja es una expresin de inconformidad que manifiesta usted o su representante autorizado a travs del proceso de quejas. Una queja incluye una queja formal o una apelacin. Por ejemplo, si usted cree que ha sufrido discriminacin de nuestra parte, puede presentar una queja. Consulte su Evidencia de Cobertura (Evidence of Coverage) o Certificado de Seguro (Certificate of Insurance), o comunquese con un representante de Servicio a los Miembros (Member Services) para conocer las opciones de resolucin de disputas que le corresponden. Esto tiene especial importancia si es miembro de Medicare, MediCal, MRMIP (Major Risk Medical Insurance Program, Programa de Seguro Mdico para Riesgos Mayores), MediCal Access, FEHBP (Federal Employees Health Benefits Program, Programa de Beneficios Mdicos para los Empleados Federales) o CalPERS ya que dispone de otras opciones para resolver disputas.

Puede presentar una queja de las siguientes maneras: completando un formulario de queja o de reclamacin/solicitud de beneficios en una oficina de Servicio a los

Miembros ubicada en un centro del plan (consulte las direcciones en Su Gua) enviando por correo su queja por escrito a una oficina de Servicio a los Miembros en un centro del plan

(consulte las direcciones en Su Gua)

llamando a la lnea telefnica gratuita de la Central de Llamadas de Servicio a los Miembros al 1-800-788-0616 (los usuarios de la lnea TTY deben llamar al 711)

completando el formulario de queja en nuestro sitio web en kp.org

Llame a nuestra Central de Llamadas de Servicio a los Miembros si necesita ayuda para presentar una queja.

Se le informar al coordinador de derechos civiles (Civil Rights Coordinator) de Kaiser Permanente de todas las quejas relacionadas con la discriminacin por motivos de raza, color, pas de origen, gnero, edad o discapacidad. Tambin puede comunicarse directamente con el coordinador de derechos civiles de Kaiser Permanente en One Kaiser Plaza, 12th Floor, Suite 1223, Oakland, CA 94612.

Tambin puede presentar una queja formal de derechos civiles de forma electrnica ante la Oficina de Derechos Civiles (Office for Civil Rights) en el Departamento de Salud y Servicios Humanos de los Estados Unidos (U. S. Department of Health and Human Services) mediante el portal de quejas formales de la Oficina de Derechos Civiles (Office for Civil Rights), en ocrportal.hhs.gov/ocr/portal/lobby.jsf, o por correo postal o por telfono a: 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(lnea TDD). Los formularios de queja formal estn disponibles en www.hhs.gov/ocr/office/file/index.html.


Kaiser Permanente

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Kaiser PermanenteCivil Rights Coordinator Kaiser Permanente One Kaiser Plaza, 12th Floor, Suite 1223, Oakland, CA 94612

Office for Civil RightsCivil Rights Complaint PortalU.S. Department of Health and Human Services, Office for Civil Rightsocrportal.hhs.gov/ocr/portal/lobby.jsf U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 1-800-537-7697TDD www.hhs.gov/ocr/office/file/index.html


60577108_ACA_1557_MarCom_CO_2017_Taglines

NONDISCRIMINATION NOTICE

Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: Provide 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, such as large print, audio, and

accessible electronic formats

Provide 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, call 1-800-632-9700 (TTY: 711) If you believe that Kaiser Health Plan 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 by mail at: Customer Experience Department, Attn: Kaiser Permanente Civil Rights Coordinator, 2500 South Havana, Aurora, CO 80014, or by phone at Member Services: 1-800-632-9700. 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, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

____________________________________________________________________

HELP IN YOUR LANGUAGE

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-632-9700 (TTY: 711).

(Amharic) : 1-800-632-9700 (TTY: 711).

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as Wuu (Bassa) D n k dy gbo: j k m s-w-po-ny j n, n, wuu k k po-po n m gbo kpa. 1-800-632-9700 (TTY: 711)

(Chinese) 1-800-632-9700TTY711

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60577108_ACA_1557_MarCom_CO_2017_Taglines

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Franais (French) ATTENTION: Si vous parlez franais, des services d'aide linguistique vous sont proposs gratuitement. Appelez le 1-800-632-9700 (TTY: 711).

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Igbo (Igbo) NRBAMA: br na na as Igbo, r enyemaka ass, nefu, dr g. Kp 1-800-632-9700 (TTY: 711).

(Japanese) 1-800-632-9700TTY: 711

(Korean) : , . 1-800-632-9700 (TTY: 711) .

Naabeeh (Navajo) D baa ak nnzin: D saad bee yntigo Din Bizaad, saad bee kndawod, t jiikeh, n hl, koji hdlnih 1-800-632-9700 (TTY: 711).

(Nepali) : 1-800-632-9700 )TTY: 711( Afaan Oromoo (Oromo) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-632-9700 (TTY: 711).

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Espaol (Spanish) ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-800-632-9700 (TTY: 711).

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Ting Vit (Vietnamese) CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. Gi s 1-800-632-9700 (TTY: 711).

Yorb (Yoruba) AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-800-632-9700 (TTY: 711).

60577109_ACA_1557_MarCom_GA_2017_Taglines


Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: Provide 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, such as large print, audio, and


Provide 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, call 1-888-865-5813 (TTY: 711) If you believe that Kaiser Health Plan 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 by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813. 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, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

____________________________________________________________________



(Amharic) : 1-888-865-5813 (TTY: 711).

. : (Arabic) (.TTY :711) 5813-865-888-1

(Chinese) 1-888-865-5813TTY711

: (Farsi) .TTY) 1-888-865-5813: 711) .


60577109_ACA_1557_MarCom_GA_2017_Taglines



(Gujarati) : , : . 1-888-865-5813 (TTY: 711). Kreyl Ayisyen (Haitian Creole) ATANSYON: Si w pale Kreyl Ayisyen, gen svis d pou lang ki disponib gratis pou ou. Rele 1-888-865-5813 (TTY: 711).

(Hindi) : 1-888-865-5813 (TTY: 711) (Japanese) 1-888-865-5813TTY: 711

(Korean) : , . 1-888-865-5813 (TTY: 711) .


Portugus (Portuguese) ATENO: Se fala portugus, encontram-se disponveis servios lingusticos, grtis. Ligue para 1-888-865-5813 (TTY: 711).

P (Russian) : e , . 1-888-865-5813 (TTY: 711).




60576526_ACA_1557_MarCom_NW_2017_Taglines


Kaiser Foundation Health Plan of the Northwest (Kaiser Health Plan) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also:

Provide no cost aids and services to people with disabilities to communicateeffectively with us, such as: Qualified sign language interpreters Written information in other formats, such as large print, audio, and


Provide no cost language services to people whose primary language is notEnglish, such as: Qualified interpreters Information written in other languages

If you need these services, call 1-800-813-2000 (TTY: 711)

If you believe that Kaiser Health Plan 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 by mail or phone at: Member Relations, Attention: Kaiser Civil Rights Coordinator, 500 NE Multnomah St. Ste 100, Portland, OR 97232, telephone number: 1-800-813-2000.

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, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available athttp://www.hhs.gov/ocr/office/file/index.html.

____________________________________________________________________



(Amharic) : 1-800-813-2000 (TTY: 711).

. : (Arabic) (.TTY :711) 2000-813-800-1

(Chinese) 1-800-813-2000TTY711

: (Farsi) .TTY) 1-800-813-2000: 711) .


60576526_ACA_1557_MarCom_NW_2017_Taglines



(Japanese) 1-800-813-2000TTY: 711

(Khmer) , 1-800-813-2000 (TTY: 711)

(Korean) : , . 1-800-813-2000 (TTY: 711) .

(Laotian) : , , , . 1-800-813-2000 (TTY: 711).


Afaan Oromoo (Oromo) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-813-2000 (TTY: 711).

(Punjabi) : , 1-800-813-2000 (TTY: 711) ' Romn (Romanian) ATENIE: Dac vorbii limba romn, v stau la dispoziie servicii de asisten lingvistic, gratuit. Sunai la 1-800-813-2000 (TTY: 711).

P (Russian) : , . 1-800-813-2000 (TTY: 711).



(Thai) : 1-800-813-2000 (TTY: 711).

(Ukrainian) ! , . 1-800-813-2000 (TTY: 711).


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Language Assistance Services Kaiser Permanente does not discriminate on the basis of age, race, ethnicity, color, national origin, cultural background, ancestry, religion, sex, gender identity, gender expression, sexual orientation, marital status, physical or mental disability, source of payment, genetic information, citizenship, primary language, or immigration status. NONDISCRIMINATION NOTICE HELP IN YOUR LANGUAGE NONDISCRIMINATION NOTICE HELP IN YOUR LANGUAGE NONDISCRIMINATION NOTICE HELP IN YOUR LANGUAGE

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