Nondiscrimination notice
Download the nondiscrimination notice in other languages
العربية Arabic (PDF, 411 KB) | Հայերեն Armenian (PDF, 631 KB) |
ែខរ Cambodian (PDF, 407 KB) | 繁體中文 Chinese Simplied (PDF, 622 KB) | Traditional (PDF, 457 KB) |
فارسی Farsi (PDF, 422 KB) | हिंदी Hindi (PDF, 625 KB) |
Hmong Hmong (PDF, 474 KB) | 日本語 Japanese (PDF, 526 KB) |
한국어 Korean (PDF, 453 KB) | ພາສາລາວ Laotian (PDF, 476 KB) |
Mienh Mien (PDF, 596 KB) | ਪੰਜਾਬੀ ਦੇ Punjabi (PDF, 891 KB) |
Русский Russian (PDF, 607 KB) | Español Spanish (PDF, 420 KB) |
Tagalog Tagalog/Filipino (PDF, 494 KB) | ภาษาไทย Thai (PDF, 725 KB) |
Український Ukrainian (PDF, 587 KB) | Tiếng Việt Vietnamese (PDF, 497 KB) |
Blue Shield of California Promise Health Plan provides:
- Free aids and services in a timely manner to people with disabilities to help them communicate better, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, and other formats)
- Free language services to people in a timely mannner whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, contact Blue Shield of California Promise Health Plan between 8 a.m. – 6 p.m., Monday through Friday. Call Customer Service in your region:
(800) 605-2556 (Los Angeles)
(855) 699-5557 (San Diego)
If you cannot hear or speak well, please call TTY:711. Upon request, this document can be made available to you in braille, large print, audiocassette, or electronic form. To obtain a copy in one of these alternative formats, please call or write to:
Blue Shield of California Promise Health Plan Customer Service
3840 Kilroy Airport Way
Long Beach, CA 90806
(800) 605-2556 (Los Angeles)
(855) 699-5557 (San Diego)
(TTY:711)
How to file a grievance
If you believe that Blue Shield of California Promise Health Plan has failed to provide these services or unlawfully discriminated in another way on the basis of race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can file a grievance with Blue Shield of California Promise Health Plan’s Civil Rights Coordinator. You can file a grievance by phone, in writing, in person, or electronically:
- By phone: Contact Blue Shield of California Promise Health Plan’s Civil Rights Coordinator between 8 a.m. – 6 p.m., Monday – Friday by calling
(844) 883-2233. Or, if you cannot hear or speak well, please call TTY: 711.
- In writing: Fill out a complaint form or write a letter and send it to:
Blue Shield of California Promise Health Plan Civil Rights Coordinator
3840 Kilroy Airport Way
Long Beach, CA 90806
- In person: Visit your doctor’s office or Blue Shield of California Promise Health Plan and say you want to file a grievance.
- Electronically: Visit Blue Shield of California Promise Health Plan’s website at blueshieldca.com/promise
Office of Civil Rights – California Department of Health Care Services
You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically:
- By phone: Call (916) 440-7370. If you cannot speak or hear well, please call 711 (Telecommunications Relay Service).
- In writing: Fill out a complaint form or send a letter to:
Deputy Director, Office of Civil Rights
Department of Health Care Services
P.O. Box 997413, MS 0009 Sacramento, CA 95899-7413
Complaint forms are available at http://www.dhcs.ca.gov/Pages/Language_Access.aspx.
- Electronically: Send an email to CivilRights@dhcs.ca.gov.
Office of Civil Rights – U.S. Department of Health and Human Services
If you believe you have been discriminated against on the basis of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing, or electronically:
- By phone: Call (800) 368-1019. If you cannot speak or hear well, please call {TTY (800) 537-7697.}
- In writing: Fill out a complaint form or send a letter to:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
- Electronically: Visit the Office for Civil Rights Complaint Portal at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.
Free interpreter services and information in other languages
Blue Shield Promise provides free language services to people whose primary language is not English.
You can also call (800) 605-2556 (TTY: 711) for Los Angeles County, or (855) 699-5557 (TTY: 711) for San Diego County. Aids and services for people with disabilities, like documents in braille or large print, are also available. These services are free of charge.
Notice of availability of language services and auxiliary aids and services: English, Arabic, Armenian, Cambodian, Chinese, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese
Los Angeles County (PDF, 1.8 MB)
San Diego County (PDF, 1.9 MB)
Medi_25_322_LS_IA090525
Page last updated: 9/10/2025