Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Which AlohaCare plan are you enrolled in?
Nondiscrimination Notice
AlohaCare complies with applicable Federal civil rights laws and does not discriminate, exclude people, or treat people differently because of:
AlohaCare 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, braille, accessible electronic formats, other formats)
AlohaCare provides free language services to people whose primary language is not English, such as:
- Information written in other languages
If you need these services, contact AlohaCare at 808-973-0712.
If you believe that AlohaCare has failed to provide these services or discriminated in another way, you can file a grievance with:
AlohaCare Attn: Grievance and Appeals Division 1357 Kapiolani Blvd., Ste. G101 Honolulu, HI 96814 Phone: 808-973-0712 Toll-free: 1-877-973-0712 TTY/TDD: 1-877-447-5990 Fax: 973-2140 Online: AlohaCare.org |
You can file a grievance in person or by mail, fax, phone, or online. If you need help filing a grievance, AlohaCare staff is available to help you.
You can also file a grievance 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.
Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
(English) Do you need help in another language or auxiliary aids and services free of charge? We will get you a free interpreter. Call 1-808-973-0712 to tell us which language you speak. (TTY: 1-877-447-5990).
(Cantonese) 您是否需要以其他語言提供的協助，或免費的輔助工具和服務？ 我們會為您提供免費的傳譯員。請致電 1-808-973-0712，告知我們您所使用的語言。(TTY: 1-877-447-5990).
(Cebuano/Visayan) Kinahanglan ba nimo og tabang sa laing pinulongan o mga auxiliary aid ug serbisyo nga libre? Makahatag mi nimo og libreng interpreter. Tawag sa 1-808-973-0712 aron sultihan mi kung unsa ang imong ginasulti nga pinulongan. (TTY: 1-877-447-5990).
(Chuukese) En mi mochen aninis non pwan och fosun fonu ika aia och pisekin aninis ese kamo Am aipwe awora ngonuk emon chon chiaku ese kamo. Kokori 1-808-973-0712 ne esinei ngenikem menni fosun fonu ke kan fos non. (TTY: 1-877-447-5990).
(Hawaiian) Pono nō ke kōkua iā ‘oe ma ka ‘ōlelo ‘ē a i ‘ole pono paha ke pihi ho‘olohe iā ‘oe me nā hana lawelawe hou a‘e me ke kāki ‘ole? ‘A‘ohe uku no ka mea unuhi ‘ōlelo. Eia ka helu e kelepona ai: 1-808-973-0712. E ha‘i mai i kāu ‘ōlelo. (TTY: 1-877-447-5990).
(Ilocano) Kasapulan kadi ti tulong iti sabali a pagsasao wenno katulongan a katulongan ken serbisio a libre? Mangala kami ti libre nga mangitarus kaniam. Tawagan ti 1-808-973-0712 tapno ibagam kadakami no ania a pagsasao ti pagsasaom. (TTY: 1-877-447-5990).
(Japanese) 貴方は、無料の他の言語サポート、または補助的な支援やサービスをご必要ですか ? 私たちは、貴方のために、無料で 通訳を用意で きます。電話番号の、1-808-973-0712に、電話して、私たちに貴方の話されている言語を申し出てください。 (TTY: 1-877-447-5990).
(Korean) 다른 언어로 도움이 필요하거나 보조 기구 및 서비스가 무료로 필요하십니까? 저희가 무료로 통역을 제공합니다. 1-808-973-0712로 전화해서 사용하는 언어를 알려주십시요 (TTY: 1-877-447-5990).
(Laotian) ທ່ານຕ້ອງການຄວາມຊ່ວຍເຫຼືອເປັນພາສາອື່ນ ຫຼື ເຄື່ອງມືຊ່ວຍ ແລະ ການບໍລິການຊ່ວຍແບບບໍ່ເສຍຄ່າບໍ? ພວກເຮົາຈະມອບລ່າມແປພາສາໃຫ້ທ່ານແບບບໍ່ເສຍຄ່າ. ໂທຫາເບີ 1-808-973-0712 ເພື່ອບອກພວກເຮົາວ່າທ່ານເວົ້າພາສາໃດ. (TTY: 1-877-447-5990).
(Mandarin) 您是否需要其他语言的帮助，或免费辅助工具与服务？我们可以免费为您安排口译员。请拨打 1-808-973-0712 告知我们您所使用的语言。(TTY: 1-877-447-5990)。
(Marshallese) Kwoj aikuij ke jiban kin juon bar kajin ak jibañ im jerbal ko ejelok wonāān ñan armej ro ewōr aer utamwe? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Kirtok 1-808-973-0712 im kwalok non kim kajin ta eo kwo melele im kenono kake. (TTY: 1-877-447-5990).
(Samoan) E te manaʻomia se fesoasoani i se isi gagana po o fesoasoani faaopoʻopo ma auʻaunaga aunoa ma se totogi? Matou te fesoasoani e ave atu fua se faaliliu upu mo oe. Vili mai i le numera lea 1-808-973-0712 pe a e mana'omia se fesoasoani mo se faaliliu upu. (TTY: 1-877-447-5990)
(Spanish) ¿Necesita ayuda en otro idioma o servicios y ayudas auxiliares sin costo alguno? Nosotros le ayudaremos a conseguir un intérprete gratuito. Llame al 1-808-973-0712 y díganos qué idioma habla. (TTY: 1-877-447-5990).
(Tagalog) Kailangan ba ninyo ng tulong sa ibang lengguwahe? Ikukuha namin kayo ng libreng tagasalin. Tumawag sa 1-808-973-0712 para sabihin kung anong lengguwahe ang nais ninyong gamitin. (TTY: 1-877-447-5990).
(Thai) คุณต้องการความช่วยเหลือในภาษาอื่นหรือบริการความช่วยเหลือเพิ่มเติมและบริการฟรีหรือไม่ เราจะจัดหาล่ามให้กับคุณโดยไม่มีค่าใช้จ่าย โทร 1-808-973-0712 เพื่อแจ้งให้เราทราบว่าคุณพูดภาษาอะไร (TTY: 1-877-447-5990).
(Tongan) ‘Okú ke fie-ma’ʻu nai ha tokoni ‘i ha lea fakafonuaange ‘e taha pe ha ngaahi sēvesi fakalahi pe ngaahi tokoni faka-e-lea fika ua kaeʻoku ta’ʻetotongi? Te mau ‘oatu ma’ʻau ha tokotaha fakatonulea ta’ʻetotongi. Telefoni ki he 1-808-973-0712 ke ke tala mai ai kiate kimautolu pe ko e lea fe’ʻiáa ʻa e lea ‘okuú ke lea ’ʻakí. (TTY: 1-877-447-5990).
(Vietnamese) Quý vị có cần hỗ trợ ngôn ngữ khác hoặc các công cụ/dịch vụ phụ trợ miễn phí không? Chúng tôi sẽ cung cấp cho quý vị một thông dịch viên miễn phí. Xin gọi số 1-808-973-0712 để cho chúng tôi biết ngôn ngữ quý vị nói. (TTY: 1-877-447-5990).
AC25-047
Nondiscrimination Notice
AlohaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex. AlohaCare does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. AlohaCare 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, braille, 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 these services, contact AlohaCare’s Compliance Officer. If you believe that AlohaCare 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: AlohaCare Attn: Grievance and Appeals Department 1357 Kapi‘olani Blvd., Ste. G101 Honolulu, HI 96814 Phone: 808-973-6395 Toll-free: 1-877-973-6395 TTY/TDD: 1-877-447-5990 Fax: 808-973-2140 Email: compliance@alohacare.org
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, AlohaCare’s Grievance and Appeals Department 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.
Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
ATTENTION: If you speak 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 1-808-973-6395 (TTY: 1-877-447-5990) or speak to your provider.
中文 (Simplified Chinese) 注意：如果您说[中文]，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和 服务，以无障碍格式提供信息。致电 1-808-973-6395（文本电话：1-877-447-5990）或咨询您的 服务提供商。
台語 (Traditional Chinese) 注意：如果您說[台語]，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 1-808-973-6395（TTY：1-877-447-5990）或與您的提供 者討論。
Cebuano ATENSYON: Kung nagsulti ka og Cebuano, dunay available nga libreng tabang sa pinulongan para kanimo. Ang nahiangay nga auxiliary nga tabang ug serbisyo sa paghatag og impormasyon sa daling ma-akses nga format available sab nga libre. Tawag sa 1-808- 973-6395 (TTY: 1-877-447-5990) o pakig-istorya sa imong provider.
CHUUKESE ESINESIN: Ika en mi kan fos non Chuukese, mi kawor aninisin awewen fos ese kamo ngonuk. Mi pwan kawor aninisin ousening me aninisin maken non och nikinik epwe mecheres ngonuk ese kamo. Kekeri 1-808-973-6395 (TTY：1-877-447-5990) ika fos ngeni noumw ewe chon awora aninis.
Hawaiian NĀ MEA: Inā ʻōlelo ʻoe i ka ʻōlelo Hawaiʻi, aia nā lawelawe kōkua ʻōlelo ʻole uku no kou hoʻohana ʻana. Loaʻa ʻia nā kōkua kōkua kūpono a me nā lawelawe e hāʻawi i ka ʻike ma nā palapala hiki ke loaʻa me ka uku ʻole. Kāhea iā 1-808-973-6395 (TTY: 1-877-447-5990) a i ʻole e kamaʻilio me kāu mea hoʻolako.
ILOCANO PANANGIKASO: No agsasaoka iti Ilocano, magun-odmo dagiti libre a serbisio ti tulong iti pagsasao. Libre met laeng a magun-odan dagiti maitutop a katulongan ken serbisio a mangipaay iti impormasion kadagiti ma-akses a pormat. Awagan ti 808-973-6395 (TTY: 1-877-447-5990) wenno makisarita iti mangipapaay kenka.
日本語 (Japanese) 注：日本語を話される場合、無料の言語支援サービスをご利用いただけます。アクセシブル（誰もが 利用できるよう配慮された）な形式で情報を提供するための適切な補助支援やサービスも無料でご利 用いただけます。1-808-973-6395（TTY：1-877-447-5990）までお電話ください。または、ご利用の事業 者にご相談ください。
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. 1-808-973-6395 (TTY: 1-877-447-5990)번으로 전화하거나 서비스 제공업체에 문의하십시오.
ລາວ (Laotian) ເຊີ ນຊາບ: ຖ້າທ່ານເວ ້າພາສາ ລາວ, ຈະມີບໍ ລິການຊ່ວຍດ້ານພາສາແບບບໍ ່ ເສຍຄ່າໃຫ້ທ່ານ. ມີເຄ ່ ອງຊ່ວຍ ແລະ ການບໍ ລິການແບບບໍ ່ ເສຍຄ່າທີ່ ເໝາະສ ມເພ ່ ອໃຫ້ຂໍ ້ມູນໃນຮູບແບບທີ່ ສາມາດເຂ ້າເຖິງໄດ້. ໂທຫາເບີ1-808-973-6395 (TTY: 1-877-447-5990) ຫ ລ ມກັບຜູ້ໃຫ້ບໍ ລິການຂອງທ່ານ.
Mandarin 请注意：如果您讲普通话，我们可为您免费提供语言协助服务。此外，我们还免费 提供相应的辅助设备与服务，以方便您获取无障碍格式的信息资料。请致电 1- 808-973-6395 （听障专线：1-877-447-5990）或咨询您的服务提供方。
Majol (Marshallese) IKIJEN: Ne kwõj kajin Majol, ewõr jibañ ejellok wonnen ñan kwe ilo kajin eo am. Ebar wõr kein roñjak im jibañ ko rekkar ñan lewaj melele ilo wāween ko kwõmaron loi im ejellok wonnen. Kall ae lok 1-808-973-6395 (TTY: 1-877-447-5990) ñe ejab kenono ibben armij ak opij eo ej lewaj jerbal in jjibañ ñan kwe.
Samoan IA SILAFIA: Afai e te tautala i le gagana Samoa, o loo avanoa mo oe auaunaga fesoasoani i le gagana e leai se totogi. O fesoasoani faaopoopo talafeagai ma auʻaunaga e tuʻuina atu ai faamatalaga i faiga faigofie ona maua o loo avanoa foʻi e aunoa ma se totogi. Valaau le 1-808-973- 6395 (TTY: 1-877-447-5990) pe talanoa i lē e tuuina atu lau tausiga.
Español (Spanish) ATENCIÓN: 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 1-808-973-6395 (1-877-447-5990) o hable con su proveedor.
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 1-808-973-6395 (TTY: 1-877-447-5990) o makipag-usap sa iyong provider.
ไทย (Thai) หมายเหตุ: หากคุณใช ้ภาษา ไทย เรามีบริการความช ่วยเหลือด ้านภาษาฟรี นอกจากนี ้ ยังมีเครือ่ งมอื และบรกิ ารชว่ ยเหลอืเพือ่ ใหข้ อ้มูลในรูปแบบที ่ เขา้ถงึไดโ้ดยไม่เสยีค่าใชจ้่าย โปรดโทรติดต่อ 1-808- 973-6395 (TTY: 1-877-447-5990) หรือปรึกษาผู ้ให ้บริการของคุณ
Tongan TOKANGA: Kapau ‘okú ke lea faka-Pilitānia, ‘oku ‘i ai ‘a e ngaahi ngāue tokoni lea ta‘etotongi ‘oku ‘oatu kiate koe. ʻOku toe maʻu taʻetotongi foki ʻa e ngaahi tokoni mo e ngaahi ngāue tokoni feʻunga ke ʻoatu ʻa e fakamatalá ʻi ha ngaahi founga ʻoku lava ke maʻu. Tā ki he 1-808-973- 6395 (TTY: 1-877-447-5990) pe talanoa ki hoʻo kautaha tokoní.
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 1-808-973-6395 (Người khuyết tật: 1-877-447-5990) hoặc trao đổi với người cung cấp dịch vụ của bạn.
H5969_NDN2601_C H5969_NOA2601_C