Aviso de no discriminación de Health Net Medi-Cal Dental
Health Net Dental complies with applicable State and Federal civil rights laws and does not discriminate, exclude people or treat them differently because of race, color, national origin, age, mental disability, physical disability, sex (including pregnancy, sexual orientation, and gender identity), religion, ancestry, ethnic group identification, medical condition, genetic information, marital status, or gender, gender identity, or sexual orientation.
Health Net Dental:
- Provides free aids and services to people with disabilities to help them communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, and other formats)
- Provides free language services in a timely manner to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
- If you need these services, contact Health Net Dental at 1-844-233-4522 (Los Angeles) or 1-833-493-0428 (Sacramento) (TTY: 1-800-466-7566), between 8:00 a.m. and 5:00 p.m. Monday through Friday.
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:
Health Net Dental
Post Office Box 9103, Van Nuys, California 91409-9103
Customer Contact Center 1-800-675-6110
California Relay 711
How to File a Grievance
If you believe that Health Net Dental has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, national origin, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, can file a grievance with the 1557 Coordinator.
You can file a grievance by phone, in person or by mail, fax, or email. If you need help filing a grievance, our 1557 Coordinator is available to help you.
- By phone: Call 855-577-8234 (TTY: 711) Monday–Friday, 5:00 a.m. to 5:00 p.m. (Pacific time)
- By fax: 1-866-388-1769
- In writing: Write a letter and send it to:
Health Net 1557 Coordinator
P.O. Box 31384
Tampa, FL 33631 - Electronically: Send an email to SM_Section1557Coord@centene.com.
This notice is available at Health Net website. - In person: Visit your doctor's office or Health Net Dental and say you want to file a grievance.
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, Office of Civil Rights
P.O. Box 997413, MS 0009
Sacramento, CA 95899-7413
Complaint forms are available. - 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: 1-800-368-1019. If you cannot speak or hear well, please call TTY 1-800-537-7697
- 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. - Electronically: Visit the Office of Civil Rights Complaint Portal.
Avisos de no discriminación
- Health Net Dental Nondiscrimination Notice (Los Angeles County) – English (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Español (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Árabe (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Armenio (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Camboyano (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Chino (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Chino simplificado (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Farsi (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Coreano (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Ruso (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Tagalo (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Los Ángeles) – Vietnamita (PDF)
- Health Net Dental Nondiscrimination Notice (Sacramento County) – English (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Español (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Árabe (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Chino (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Chino simplificado (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Farsi (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Hmong (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Ruso (PDF)
- Aviso de no discriminación de Health Net Dental (Condado de Sacramento) – Vietnamita (PDF)