SummaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, religion, gender identity or sex. SummaCare does not exclude people or treat them differently because of race, color, national origin, age, disability, religion, gender identity or sex consistent with sex discrimination described in 45 CFR §92.101(a)(2). SummaCare does not exclude people or treat them less favorably because of race, color, national origin, age, disability or sex.
If you need these services, contact Member Services.
If you believe that SummaCare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, religion, gender identity or sex, you can file a grievance with Member Services or in writing to:
PO Box 1107
Akron, OH 44309-1107
Toll-free: 855.416.6441 (TTY 711)
Fax: 330.996.8545
Email: appeals@summacare.com
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, a Member Services Representative 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, DC 20201, 800.368.1019, 800.537.7697 (TDD).
Complaint forms are available at hhs.gov/ocr/office/file/index.html
انلسخة اعلر بیة: تنبیھ: تتوفر خدمات المساعدة اللغویة مجانًا. كما تتوفر المساعدات والخدمات التكمیلیة المناسبة لتوفیر المعلومات بصیغ یمكن الوصول.
( 71 1: TTY 855.416.644 ( خدمة إلیھا مجانًا أیضًا. للمساعدة، یُرجى الاتصال مجانًا ع لى الر قم 1
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