Nondiscrimination Notice
DISCRIMINATION IS AGAINST THE LAW
Pennsylvania Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pennsylvania Dental does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Pennsylvania Dental provides free aids and services to people with disabilities to communicate effectively with us, such as free language services to people whose primary language is not English by qualified interpreters and some information written in Spanish.
If you need these services, contact our Customer Service at (800) 356-7586 or by email at customerservice@deltadentalid.com.
If you believe that Pennsylvania Dental 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:
Operations Manager, P.O.Box 2870, Boise, Idaho 83701
Toll - free (866) 912-7997, Fax (208) 344-4649
customerservice@deltadentalid.com
You can file a grievance In person Or by mail, fax, Or email.If you need help filing a grievance, our Operations Manager 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.
LANGUAGE ASSISTANCE
ATENCIÓN : si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-(800) 356-7586.
注意 ： 如果您使用繁體中文， 您可以免費獲得語言援助服務。請致電 1-(800) 356-7586.
OBAVJEŠTENJE : Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-(800) 356-7586
1-(800) 356-7586.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-(800) 356-7586
ACHTUNG : Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-(800) 356-7586
PAUNAWA : Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-(800) 356-7586
ВНИМАНИЕ : Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-(800) 356-7586
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-(800) 356-7586
注意事項 ： 日本語を話される場合、無料の言語支援をご利用いただけます。
1-(800) 356-7586
ATENȚIE : Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit.Sunați la 1-(800) 356-7586
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-(800) 356-7586
Pennsylvania Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pennsylvania Dental does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Pennsylvania Dental provides free aids and services to people with disabilities to communicate effectively with us, such as free language services to people whose primary language is not English by qualified interpreters and some information written in Spanish.
If you need these services, contact our Customer Service at (800) 356-7586 or by email at customerservice@deltadentalid.com.
If you believe that Pennsylvania Dental 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:
Operations Manager, P.O.Box 2870, Boise, Idaho 83701
Toll - free (866) 912-7997, Fax (208) 344-4649
customerservice@deltadentalid.com
You can file a grievance In person Or by mail, fax, Or email.If you need help filing a grievance, our Operations Manager 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.
LANGUAGE ASSISTANCE
ATENCIÓN : si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-(800) 356-7586.
注意 ： 如果您使用繁體中文， 您可以免費獲得語言援助服務。請致電 1-(800) 356-7586.
OBAVJEŠTENJE : Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-(800) 356-7586
1-(800) 356-7586.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-(800) 356-7586
ACHTUNG : Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-(800) 356-7586
PAUNAWA : Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-(800) 356-7586
ВНИМАНИЕ : Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-(800) 356-7586
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-(800) 356-7586
注意事項 ： 日本語を話される場合、無料の言語支援をご利用いただけます。
1-(800) 356-7586
ATENȚIE : Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit.Sunați la 1-(800) 356-7586
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-(800) 356-7586
