Discrimination is Against the Law
CVS Healthspire Payor & Life Sciences, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. CVS Healthspire Payor & Life Sciences, LLC does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.
CVS Healthspire Payor & Life Sciences, LLC:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats).
- Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:
- Qualified interpreters
- Information written in other languages.
- Provides free language assistance services to people whose primary language is not English, which may include:
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact 855-238-1769.
If you believe that CVS Healthspire Payor & Life Sciences, LLC 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
Fax: 1-401-652-9935
Email: Coordinator1557@cvshealth.com
You can file a grievance in person or by mail, fax, 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 CVS Healthspire Payor & Life Sciences, LLC website: https://lifesciences.cvshealthspire.com
Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (§ 92.11)
English
ATTENTION: Free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-855-238-1769 (TTY: 1- 855-238-1769) or speak to your provider.
Español (Spanish)
A TENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-855-238-1769 (TTY: 1-855-238-1769) o hable con su proveedor.
中文Chinese (Traditional)
注意：如果您說[中文]，我們可以為您提供免費語言協助服務。也可以免費提供適當的輔助工具與服務，以無障礙格式提供資訊。請致電 1-855-238-1769（TTY：1-855-238-1769）或與您的提供者討論。」
Tagalog
PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa 1-855-238-1769 (TTY: 1-855- 238-1769) o makipag-usap sa iyong provider."
Việt (Vietnamese)
LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-855-238-1769 (Người khuyết tật: 1-855-238-1769) hoặc trao đổi với người cung cấp dịch vụ của bạn.”
(Arabic) العربية
تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرقم 1-855-238-1769 )1-855-238-1769( أو تحدث إلى مقدم الخدمة."
Français (French)
ATTENTION : Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le 1-855-238-1769 (TTY : 1-855-238- 1769) ou parlez à votre fournisseur. »
Português do Brasil (Portuguese)
ATENÇÃO: Se você fala [inserir idioma], serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para 1-855-238-1769 (TTY: 1-855-238- 1769) ou fale com seu provedor.”
한국어 (Korean)
주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로
정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-855-238-1769 (TTY: 1-855-238- 1769)번으로 전화하거나 서비스 제공업체에 문의하십시오."
РУССКИЙ (Russian)
ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 1-855-238-1769 (TTY: 1-855-238-1769) или обратитесь к своему поставщику услуг.
Kreyòl Ayisyen (Haitian)
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd aladispozisyon w gratis pou lang ou pale a. Èd ak sèvis siplemantè apwopriye pou bay enfòmasyon nan fòma aksesib yo disponib gratis tou. Rele nan 1- 855-238-1769 (TTY: 1-855-238-1769) oswa pale avèk founisè w la.”
ह िंदी (Hindi)
ध्यान दें: यहद आप ह िंदी बोलते ैं, तो आपके हलए हनिः शुल्क भाषा स ायता सेवाएिं उपलब्ध ोती ैं। सुलभ प्रारूपोिं में जानकारी प्रदान करने के हलए उपयुक्त स ायक साधन और सेवाएँ भी हनिः शुल्क उपलब्ध ैं। 1-855-238-1769 (TTY: 1-855-238- 1769) पर कॉल करें या अपने प्रदाता से बात करें ।”
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-855-238-1769 (TTY: 1- 855-238-1769) an oder sprechen Sie mit Ihrem Provider.“
(Yiddish) יידיש
נאטיץ: אויב איר רעדט יידיש, שפראך הילף סערוויסעס זענען בארעכטיגט פאר דיר פריי. צונעמען ַאידס און בַאדינונגס ֿפַאר ּפרַאוויידינג אינֿפָארמַאציע אין צוטריטלעך ֿפָארמַאטירונגען זענען אויך בנימצא פריי. רופן x 1-855-238-1769 (TTY: )1-855-238-1769 ָאדער רעדן מיט דיין טרעגער".
አማርኛ (Amharic)
ማሳሰቢያ፦ አማርኛ የሚናገሩ ከሆነ፣ የቋንቋ ድጋፍ አገልግሎት በነፃ ይቀርብልዎታል። መረጃን በተደራሽ ቅርጸት ለማቅረብ ተገቢ የሆኑ
ተጨማሪ እገዛዎች እና አገልግሎቶች እንዲሁ በነፃ ይገኛሉ። በስልክ ቁጥር 1-855-238-1769 (TTY: 1-855-238-1769) ይደውሉ ወይም አገልግሎት አቅራቢዎን ያናግሩ።”
اردو (Urdu)
توجہ دیں: اگر آپ اردو بول ےت ہ ںی، تو آپ کے ل ںی زبان کی مفت مدد کی خدمات دستیاب ہ ںی۔ قابل رسا یئ فارمیٹس م ںی معلومات فراہم کر ےن کے ل ںی مناسب معاون امداد اور خدمات بھی مفت دستیاب ہ ںی۔1-855-238-1769 (TTY: 1-855-238-1769 ) پرکال کریں یا اپ ےت فراہم کنندہ سے بات
کریں۔”