Non-discrimination Notice

Aetna Better Health® Kids complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex gender, gender identity or expression or sexual orientation. Aetna does not exclude people or treat them differently because of race, color, national origin, age, disability, sex gender, gender identity or expression or sexual orientation, health status or need for health care services.

Aetna Better Health Kids :

• Provides free aids and services to people with disabilities 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 services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you need a qualified interpreter, written information in other formats, translation or other services, call the number on your ID card or 1-800-385-4104.

If you believe that Aetna Better Health Kids has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex gender, gender identity or expression, or sexual orientation, you can file a grievance with our Civil Rights Coordinator at:

Address: Attn: Civil Rights Coordinator

PO Box 818001

Cleveland, OH 44181-8001

Telephone: 1-888-234-7358 (TTY 711)

Email: MedicaidCRCoordinator@aetna.com

The Bureau of Equal Opportunity, Room 223

Health and Welfare Building PO Box 2675

Harrisburg, PA 17105-2675

Phone: 717-787-1127 (TTY/PA Relay: 711)

Fax: 717-772-4366

Email: RA-PWBEOAO@PA.gov

You can file a grievance in person or by mail or email. If you need help filing a grievance, our Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone with the U.S. Department of Health and Human Services, Office for Civil Rights at: 

U.S. Department of Health and Human Services  

200 Independence Avenue SW 

Room 509F, HHH Building, Washington, DC 20201 

1-800-368-1019 (TDD: 1-800-537-7697) 

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

This notice is available at the Aetna Better Health Kids website:

AetnaBetterHealth.com/Pennsylvania

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, and its affiliates.

Multi-language interpreter services

ATTENTION: If you speak a language other than English, 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 1-800-385-4104 (TTY/PA RELAY: 711) or speak to your provider.

ATENCIÓN: Si habla otro idioma que no sea inglés, tiene a su disposición servicios gratuitos de asistencia linguística. También, están disponibles sin cargo ayudas y servicios auxiliares apropiados para brindarle información en formatos accesibles. Llame al

1-800-385-4104 (TTY/PA RELAY: 711) o hable con su proveedor.

注意：如果您使用简体中文，您可以免费获得语言援助服务。您还可以免费获得以无障碍格式提供信息的适当辅助设备和服务。请致电 1-800-385-4104 (TTY/PA RELAY: 711) 或咨询您的医疗服务提供者。

ध्यान दिनुहोस्: यदि तपाईं अंग्रजीभन्िा अर्को भाषा बोल्नुहुन्छ भने भाषार्का सहयोगी सेवाहरू तपाईंर्को लागग ननिः शुल्र्क उपलब्ध छन्। प्राप्त गनन सकर्कने ढााँचामा जानर्कारी प्रिान गनन उपयुक्त थप सहायता र सेवाहरू पनन ननिःशुल्र्क उपलब्ध छन्। 1-800-385-4104 (TTY/PA RELAY: 711) मा फोन गनुनहोस् वा आफ्नो प्रिायर्कसाँग र्कुरार्कानी गनुनहोस्।

ВНИМАНИЕ: Если вы говорите на языке, отличном от английского, то вам доступны бесплатные услуги перевода. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также доступны для вас бесплатно.

Звоните по номеру 1-800-385-4104 (TTY/PA RELAY: 711) или обратитесь к своему поставщику услуг.

تنبيه: إذا كنت تتحدث اللغة العربية، فإن خدمات المساعدة اللغوية متاحة بالمجان. تتوفر أيضًا مساعدات وخدمات

مساعدة مناسبة لتقديم المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل بالرقم .1-800-385-4104( RELAY: 711 )TTY/PA أو تحدث إلى مقدم الخدمة الخاص بك.

ATANSYON: Si lang ou pale a se pa anglè li ye, gen sèvis èd pou lang ki disponib gratis pou ou. Èd ak sèvis konplemantè pou founi enfòmasyon nan yon fòma ki aksesib, disponib pou ou tou gratis. Rele 1-800-385-4104 (TTY/PA RELAY: 711) oswa pale ansanm avèk founisè ou an.

CHÚ Ý: Nếu quý vị nói ngôn ngữ không phải tiếng Anh, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho quý vị. Các dịch vụ và hỗ trợ bổ sung thích hợp để cung cấp thông tin ở các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Gọi số 1-800-385-4104 (TTY/PA RELAY: 711) hoặc nói chuyện với nhà cung cấp của quý vị.

УВАГА: Якщо ви розмовляєте мовою, відмінною від англійської, то вам доступні безкоштовні послуги мовної допомоги. Відповідні допоміжні засоби та послуги з надання інформації в доступних форматах також доступні для вас безкоштовно. Телефонуйте за номером

1-800-385-4104 (TTY/PA RELAY: 711) або зверніться до свого постачальника послуг.

注意：如果您使用繁體中文，您可以免費獲得語言援助服務。

您還可以免費獲得以無障礙格式提供資訊的適當輔助設備和服務。請致電 1-800-385-4104 (TTY/PA RELAY: 711) 或諮詢您的醫療服務提供者。

ATENÇÃO: se você fala um idioma diferente do inglês, encontram-se disponíveis serviços linguísticos gratuitos. Auxílios e serviços auxiliares para fornecer informações em formatos acessíveis estão disponíveis gratuitamente. Ligue para 1-800-385-4104 (TTY/PA RELAY: 711) ou fale com seu provedor.

লক্ষ্য করুনঃ যদি আপদন ইংরেজি ব্যাতীত অনয ককারনা ভাষায় কথা ব্রলন, তরব্ আপনাে িনয দব্নামূরলয ভাষাগত সহায়তা পদেরষব্া উপলব্ধ আরে। অযারেসরযাগয ফেমযারে তথয প্রিারনে িনয উপযুক্ত সহায়ক সাহাযয এব্ং পদেরষব্াও দব্নামূরলয পাওয়া যারব্। কফান করুন 1-800-385-4104 (TTY/PA RELAY: 711) নম্বরে দকংব্া আপনাে প্রিানকােীে সারথ কথা ব্লুন।

ATTENTION : Si vous parlez une langue autre que l’anglais, des services d’aide linguistique vous sont proposés gratuitement. Des aides et services complémentaires appropriés visant à fournir des informations dans des formats accessibles vous sont également proposés gratuitement. Appelez

le 1-800-385-4104 (TTY/PA RELAY: 711) ou adressez-vous à votre prestataire.

ចំណំ៖ប្រសិនបរើអ្នកនិយាយភាសាបសេងបប្ៅពីភាសាអ្ង់បលេស បសវាជំនួយផ្សនកភាសាបោយមិនលិតថ្លេមាន សប្មារ់របប្មើអ្នក។ ឧរករណ៍និងបសវាជំនួយសមប្សរបែើមីបសតល់ព័ត៌មានជាទប្មង់ផ្ែលអាចបប្រើបានក៏មាន បោយមិនលិតថ្លេសងផ្ែរ។ ចូរទូរសពទបៅបលខ 1-800-385-4104 (TTY/PA RELAY: 711) ឬនិយាយជាមួយ អ្នកសតល់បសវាររស់អ្នក។

주의: 영어가 아닌 다른 언어 사용자인 경우 무료 언어 지원 서비스를 사용할 수 있습니다. 접근 가능한 형식으로 정보를 제공하는 적절한 보조 도구 및 서비스도 무료로 제공됩니다. 1-800-385-4104 (TTY/PA RELAY: 711) 번으로 전화하거나 제공자에게 문의하십시오.

સૂચના: જો તમે અંગ્રેજી સિવાયની કોઈ અન્ય ભાષા બોલો છો, તો નન: શુલ્ક ભાષા િહાય િેવાઓ તમારા માટે ઉપલબ્ધ છે. સુલભ ફોમેટમાં માનહતી પ્રદાન કરવા માટે યોગ્ય િહાયક િહાય અને િેવાઓ પણ નન: શુલ્ક ઉપલબ્ધ છે. 1-800-385-4104 (TTY/PA RELAY: 711) પર કૉલ કરો અથવા તમારા પ્રદાતા િાથે વાત કરો.