Nondiscrimination Notice

Do you think Trillium Community Health Plan (Trillium) has treated you unfairly?

Trillium must follow state and federal civil rights laws. It cannot treat people unfairly in any of its programs or activities because of a person’s:

• Age                            • Gender Identity                     • Race                        • Sexual Orientation

• Color                          • Maritial staus                        • Religion                    • Health status

• Disability                     • National Origin                     • Sex                          • Need for Services

You have a right to enter, exit, and use buildings and services. You have the right to get information in a way you understand. Trillium will make reasonable changes to policies, practices, and procedures by talking with you about your needs.

To report concerns, get help filing a compliant or to get more information, please contact Member Services at 541-485-2155; Toll Free: 1-877-600-5472; TTY: 1-877-600-5473, Monday through Friday, 8:00 a.m. to 5:00 p.m. You can leave a message at other times, including weekends and federal holidays. We will return your call the next business day. The call is free.

If you believe you have been discriminated against, you may also contact:

Levi Welbourne, Senior Manager, Grievance & Appeals
555 International Way, Building B
Springfield, OR 97477
Phone: 541-485-2155
Toll-free 1-877-600-5472 (TTY 711)
Email: grievances@trilliumchp.com
Web: www.trilliumohp.com/members/oregon-health-plan/for-members/member-satisfaction.html

You have a right to file a civil rights complaint with these organizations:

U.S. Department of Health and Human Services Office for Civil Rights (OCR)

Web: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
Phone: (800) 368-1019, (800) 537-7697 (TDD)
Email: OCRComplaint@hhs.gov
Mail: Office for Civil Rights, 200 Independence Ave. SW, Room 509F, HHH Bldg., Washington, DC 20201

Oregon Health Authority (OHA) Civil Rights

Web: www.oregon.gov/OHA/OEI
Email: OHA.PublicCivilRights@state.or.us
Phone: (844) 882-7889, 711 TTY
Mail: Office of Equity and Inclusion Division, 421 SW Oak St., Suite 750, Portland, OR 97204

Bureau of Labor and Industries Civil Rights Division
Phone: (971) 673-0764
Email: boli_help@boli.oregon.gov
Mail: Bureau of Labor and Industries Civil Rights Division, 800 NE Oregon St., Suite 1045, Portland, OR 97232

You can get this letter in another language, large print, or another way that is best for you. You can also have a language interpreter. This help is free. Call 1-844-867-1156 (TTY/TDD 711). 

Puede recibir esta carta en otro idioma, en letra grande o en el formato que sea mejor para usted. También puede tener un intérprete de idiomas. Esta ayuda is gratuita. Llame al 1-844-867-1156 (TTY/TDD 711).

English
ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-844-867-1156; TTY: 1-877-600-5473.

Español (Spanish)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-844-867-1156; TTY: 1-877-600-5473.

Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-844-867-1156; TTY: 1-877-600-5473.

Tiếng Việt (Vietnamese)
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-867-1156; TTY: 1-877-600-5473.

Arabic:

تنبيه: إذا كنت تتحدث اللغة العربية فإن خدمات المساعدة اللغوية متاحة لك مجاناً. اتصل بـ على 1-844-867-1156 ، رقم هاتف الصم والبكم: 1-877-600-5473.

Somali:
OGAYSIIN: Haddii aanad ku hadal Ingiriisi, luqadda adeegyada kaalmada, bilaash ah, ayaa adiga laguu heli karaa. Soo wac 1-877-600-5472; TTY: 1-877-600-5473.

Chinese Simplified:
敬请注意:如果您不会说英文,您可以致电如下号码,获得免费的语言援助服务:1-877-600-5472; TTY: 1-877-600-5473。

Chinese Traditional:
請注意:如果您不講英文,您可以致電以下號碼以獲得免費的語言支援服務: 1-877-600-5472; TTY:
1-877-600-5473。

한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-600-5472; TTY: 1-877-600-5473.

Hmong:
សម្គា ល់៖ប្រសិនបរើអ្នកមិននិយាយភាសាអ្ង់បលេសបេបសវាជំនួយផ្ននកភាសាម្គននតល់ជូនអ្នកបោយមិនលិតថ្លេ។ សូមេូរស័ព្ទបៅបលខ 1-877-600-5472; TTY: 1-877-600-5473 ។

Marshallese:
KŌJJEL : Elaññe kwōjab jelã Kajin Pālle, ewōr riukok ñan jibañ eok I'm ejjelok wonen. Kūrlok 1-877-600-5472; TTY: 1-877-600-5473.

Chuukese:
ASINEI NGENI KEMI: Ika pwe kose kan kapas fosun Merika, angangen aninisin fosun
fonu kena, ese wor momon, ra kawor ngonuk. Kori 1-877-600-5472; TTY: 1-877-600-5473.

Tagalog:
ATENSIYON: Kung hindi ka nagsasalita ng Ingles, magagamit mo ang mga serbisyong tulong sa wika nang walang bayad. Tumawag sa 1-877-600-5472; TTY: 1-877-600-5473.

German:
ACHTUNG: Wenn Sie kein Deutsch sprechen, stehen Ihnen kostenlose telefonische
Sprachhilfen zur Verfügung. Rufen Sie an unter 1-877-600-5472; Fernschreiber: 1-877-600-5473.

Portuguese:
ATENÇÃO: Caso você não fale inglês, existem serviços de assistência linguísticagratuitos. Ligue para 1-877-600-5472; TTY: 1-877-600-5473.

日本語 (Japanese)
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。1-877-600-5472; TTY: 1-877-600-5473. まで、電話にてご連絡ください

Українська (Ukrainian)
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися добезкоштовної служби мовної підтримки. Телефонуйте за номером. 1-877-600-5472; TTY: 1-877-600-5473.