Healthy Workers HMO Non-Discrimination Notice

Discrimination is against the law. San Francisco Health Plan (SFHP) follows Federal civil rights laws. SFHP does not discriminate, exclude people, or treat them differently because of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

SFHP provides:
Free aids and services to people with disabilities to help them communicate better, such as:

• Qualified sign language interpreters
• Written information in other formats (large print, audio, accessible electronic formats, other formats)

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 SFHP Customer Service between 8:30am and 5:30pm, Monday through Friday, by calling 1(415) 547-7800 or 1(800) 288-5555 (toll-free). Or, if you cannot hear or speak well, please call TTY 1(415) 547-7830 or 1(888) 883-7347 (toll-free).

How to File a Grievance

If you believe that SFHP has failed to provide these services or discriminated in another way on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, you can file a grievance with SFHP. You can can file a grievance by phone, in writing, in person, or electronically:

• By phone: Contact SFHP between 8:30am and 5:30pm, Monday through Friday, by calling 1(415) 547-7800 or 1(800) 288-5555 (toll-free). Or, if you cannot hear or speak well, please call TTY 1(415) 547-7830 or 1(888) 883-7347 (toll-free).
• In writing: Fill out a complaint form or write a letter and send it to:
  San Francisco Health Plan
  P.O. Box 194247
  San Francisco, CA 94119
• In person: Visit your doctor’s office or SFHP’s Service Center and say you want to file a grievance. SFHP’s Service Center is located at 7 Spring Street, San Francisco, CA 94104.
• Electronically: Visit SFHP’s website at sfhp.org

Office of Civil Rights

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: Call 1(800) 368-1019. If you cannot hear or speak 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 at http://www.hhs.gov/ocr/office/file/index.html.
• Electronically: Visit the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.