Nondiscrimination Notice | Allwell from Silver Summit Health
Allwell Medicare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Allwell Medicare does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
- Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and 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 and information written in other languages.
If you need these services, contact Allwell Medicare's Member Services telephone number listed for your state on the Member Services Telephone Numbers by State Chart. From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays.
If you believe that Allwell Medicare 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 calling the number in the chart below and telling them you need help filing a grievance; Allwell Medicare's Member Services 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 (By clicking on this link you will be leaving the Allwell from Silver Summit Health website) 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 (TDD: 1-800-537-7697).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. (By clicking on this link you will be leaving the Allwell from Silver Summit Health website)
|State||Telephone Number and Plan Type|
|Arizona||1-800-977-7522 (HMO and HMO SNP) (TTY: 711)|
|Arkansas||1-855-565-9518 (TTY: 711)|
|Florida||1-877-935-8022 (TTY: 711)|
|Georgia||1-844-890-2326 (HMO); 1-877-725-7748 (HMO SNP) (TTY: 711)|
|Indiana||1-855-766-1541 (HMO and PPO); 1-833-202-4704 (HMO SNP) (TTY: 711)|
|Kansas||1-855-565-9519 (HMO); 1-833-402-6707 (HMO SNP); 1-833-696-0634 (PPO)(TTY:711)|
|Louisiana||1-855-766-1572 (HMO); 1-833-541-0767 (HMO SNP) (TTY: 711)|
|Mississippi||1-844-786-7711 (HMO); 1-833-260-4124 (HMO SNP) (TTY: 711)|
|Missouri||1-855-766-1452 (HMO); 1-833-298-3361 (HMO SNP) (TTY: 711)|
|Nevada||1-833-854-4766 (HMO); 1-833-717-0806 (HMO SNP) (TTY:711)|
|New Mexico||1-833-543-0246 (HMO); 1-844-810-7965 (HMO SNP) (TTY: 711)|
|Ohio||1-855-766-1851 (HMO); 1-866-389-7690 (HMO SNP) (TTY: 711)|
|Pennsylvania||1-855-766-1456 (HMO); 1-866-330-9368 (HMO SNP) (TTY: 711)|
|South Carolina||1-855-766-1497 (TTY: 711)|
|Texas||1-844-796-6811 (HMO); 1-877-935-8023 (HMO SNP)(TTY: 711)|
|Wisconsin||1-877-935-8024 (TTY: 711)|