Astiva Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Astiva Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact Member Services at 1-866-688-9021, TTY 711 .
If you believe that Astiva Health 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:
Astiva Health Compliance Department
3200 Bristol Ave Ste. #640
Costa Mesa, CA 92626
Phone:
1-866-688-9021, TTY:
711
Email: Compliance@astivahealth.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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 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, 1-800-537-7697
(TDD)
Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.
Astiva Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Astiva Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact Member Services at 1-866-688-9021, TTY 711 .
If you believe that Astiva Health 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:
Astiva Health Compliance Department
3200 Bristol Ave Ste. #640
Costa Mesa, CA 92626
Phone:
1-866-688-9021, TTY:
711
Email: Compliance@astivahealth.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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 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, 1-800-537-7697
(TDD)
Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.