National Enrollment Guide

2024 National Enrollment Guide Care for all that is you kp.org/allthatisyou

Experience health care designed with you in mind Care for … Routine checkups, complex treatments, and late-night questions Building strength, reducing stress, and raising a family New goals, old habits, and ongoing mental wellness No matter what your priority is, ours is providing excellent care — for the you who’s feeling great, the you who needs support, and every you in between.

PRIMARY CARE HEALTH SPECIALTY PLAN CARE TELEHEALTH PHARMACY SERVICES AND LABS Built to make your life easier Combined care and coverage means your Kaiser Permanente doctors, hospitals, and health plan beneﬁts are all connected and committed to providing you with exceptional care tailored to your needs. It’s easier access to It’s predictable costs It’s the right care, top specialists and the and less paperwork. when you need it. latest treatments. Find out how we can help you stay healthy and keep doing what you love. kp.org/allthatisyou 1

Care that’s personalized For the you who deserves to be understood Kaiser Permanente doctors have one priority: your health. Your electronic health record connects your care team with your health history, so your doctor can plan the right care for your needs. They learn your lifestyle, risks, and goals to understand what matters most to you and be your best health advocate. Explore care that ﬁts your life. kp.org/connectedtocare We guide you through every step of your care Your health Your doctor guides Your health record Your care team lets history lives on you through is available to you know when to your electronic appointments you and your care schedule checkups health record. and referrals. team 24/7. and tests. X2

Care that’s convenient For the you with a busy schedule Visit kp.org or use our app to make a routine same-day or next-day 1 appointment in person, or talk to a clinician 24/7 by phone or video. No matter how you connect, you’ll always talk with a medical professional who can see your health history and pick up where you left off. Do more in one visit Many of our facilities have pharmacies and labs in the same building, so you can see your doctor, get your tests, and pick up your prescriptions all in one stop. Your health at your ﬁngertips • Get 24/7 virtual care • Email your care team • View most lab results and doctor’s notes • Reﬁll most prescriptions • Check in for appointments • Pay bills and view statements See how the Our mobile app won Fast Company’s 2022 Kaiser Permanente Design Company of the Year and the 2022 app puts you in control. People’s Voice Webby award for Health and Fitness Apps. kp.org/mobile You’re covered while traveling If you’re planning to travel, we can help you manage your vaccinations, reﬁll prescriptions, and more. And once you’re on the go, you’re covered for urgent and emergency care anywhere in the world — even at non–Kaiser Permanente facilities. XX 3

Care that’s world class For the you who expects the best No matter your needs — mental health, maternity, cancer care, heart health, and beyond — you have access to doctors, cutting-edge technology, and the latest evidence-based care. Learn how our doctors and specialists work for you. kp.org/specialtycare We’re a national leader in screening rates and research, and we’re among the top-rated health plans in every state we serve.2,3,4 Kaiser Permanente members are: % % % 33 52 20 more likely to survive more likely to survive less likely to experience 5 6 heart disease colorectal cancer premature death due to cancer7 All 39 of our hospitals have been recognized by U.S. News & World Report as high performing in one or more types of care.8 4

Care that’s all encompassing For the you who wants to explore all your health options Kaiser Permanente members can get help with depression, anxiety, addiction, and mental or emotional health — without a referral. You also have access to 9,10 self-care apps to help your overall mental wellness. Calm Headspace Care myStrength The number one app for Text one-on-one with an Build a personalized 11 emotional support coach plan to strengthen your sleep and meditation anytime, anywhere12 emotional health Find out more about mental health care. kp.org/mentalhealth Resources for everyday wellness Take advantage of classes, services, and programs to help you achieve your 13 health and ﬁtness goals. • Acupuncture, massage therapy, and • Wellness coaching chiropractic care • Online ﬁtness with the ClassPass app • Reduced rates on gym memberships • Healthy lifestyle programs 5 X

Care that’s dependable For the you who wants a doctor you trust Your health is a lifelong journey, and we want you to have the right doctor to go the distance. We hire doctors and staff who speak more than one language and deliver care that’s sensitive to your culture, ethnicity, and lifestyle. And you can choose or change your doctor anytime. From ﬁnding the right doctor to transitioning care, we’ll help you with every step. kp.org/newmember Dr. Weniger was relatable, kind, and thorough. By the end of my visit, I knew I made the right choice in Kaiser Permanente. — Aimee, new member 6

Complete care to help you live a fuller, healthier life With Kaiser Permanente, you have a trusted partner who considers your health a priority and makes it easier to get the care you need. That’s why members stay with Kaiser Permanente nearly 3 times as long as other 14 health plans. Want to learn more? Visit kp.org/allthatisyou to shop plans and get help with your health care questions. Call 1-800-514-0985 (TTY 711), Monday through Friday, 7 a.m. to 6 p.m. Paciﬁc time, to talk to an enrollment specialist. Current members with questions can call Member Services, 24 hours a day, 7 days a week (closed holidays). • 1-800-464-4000 (English and more than 150 languages using interpreter services) • 1-800-788-0616 (Spanish) • 1-800-757-7585 (Chinese dialects) • 711 (TTY)

1. When appropriate and available. If you travel out of state, phone appointments and video visits may not be available in select states due to licensing laws. Laws differ by state. 2. Kaiser Permanente 2023 HEDIS® scores. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. Kaiser Permanente combined region scores were provided by the Kaiser Permanente Department of Care and Service Quality. The source for data contained in this publication is Quality Compass 2023 and is used with the permission of NCQA. Quality Compass 2023 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® and HEDIS® are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality. 3. 2021 Annual Report, Kaiser Permanente, about.kaiserpermanente.org/ who-we-are/annual-reports/2021-annual-report. 4. NCQA’s Private Health Insurance Plan Ratings 2023–2024, National Committee for Quality Assurance, 2023: Kaiser Foundation Health Plan of Colorado — HMO (rated 4 out of 5); Kaiser Foundation Health Plan of Georgia, Inc. — HMO (rated 4 out of 5); Kaiser Foundation Health Plan, Inc., of Hawaii — HMO (rated 4 out of 5); Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. — HMO (rated 5 out of 5); Kaiser Foundation Health Plan, Inc., of Northern California — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan of the Northwest — HMO (rated 4 out of 5); Kaiser Foundation Health Plan, Inc., of Southern California — HMO (rated 4.5 out of 5); Kaiser Foundation Health Plan of Washington — HMO (rated 4 out of 5). 5. See note 7. 6. Theodore R. Levin, MD, et al., ”Effects of Organized Colorectal Cancer Screening on Cancer Incidence and Mortality in a Large, Community-Based Population,” Gastroenterology, November 2018. 7. Elizabeth A. McGlynn, PhD, et al., “Measuring Premature Mortality Among Kaiser Permanente Members Compared to the Community,” July 20, 2022. 8. kp.org/TopHospitals 9. The apps and services described above are not covered under your health plan benefits, are not a Medicare-covered benefit, and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. The apps and services may be discontinued at any time. 10. Calm and myStrength can be used by members 13 and over. The Headspace Care app and services are not available to any members under 18 years old. 11. Calm is the number 1 app for sleep, meditation, and relaxation. Learn more at calm.com/blog/about 12. Eligible Kaiser Permanente members can text with a coach using the Headspace Care app for 90 days per year. After the 90 days, members can continue to access the other services available on the Headspace Care app for the remainder of the year at no cost. 13. The services described above are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. These services may be discontinued at any time without notice. 14. Kaiser Permanente internal data, 2019; ”12 Trends Influencing the Future of Workplace Benefits,” Aflac, 2018; U.S. Bureau of Labor Statistics, 2018. 8

Notes Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California • • and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont • Center, 3495 Piedmont Road NE, Atlanta, GA 30305 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in • Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 • Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 1300 SW 27th St., Renton, WA 98057 X

CA VERSION Language Assistance Services English: Language assistance is available at no cost to you, 24 hours a day, 7 days a week. You can request interpreter services, or materials translated into your language or alternative formats. You can also request auxiliary aids and devices at our facilities. Call our Member Service Contact Center for help, 24 hours a day, 7 days a week (closed holidays). • Medi-Cal: 1-855-839-7613 (TTY 711) • All others: 1-800-464-4000 (TTY 711) ً وأ ةيروفلا ةمجرتلا ةمدخ بلط كناكمإب .عوبسلأا مايأ ةفاك ةعاسلا رادم ىلع اناجم كل ةرفوتم ةيروفلا ةمجرتلا تامدخ :Arabic ً ةمدخ لاصتا زكرم عم لصتا .انقفارم يف ةزهجأو ةيفاضإ تادعاسم بلط اضيأ كنكمي .ىرخأ غيصل وأ كتغلل قئاثو ةمجرت . (قلغم تلاطعلا) عوبسلأا يف مايأ 7 و مويلا يف ةعاس 24 رادم ىلع ،انيدل ءاضعلأا ( TTY 711 ) 1-855-839-7613 : Medi-Cal • ( TTY 711) 1-800-464-4000 :نيرخلآا عيمج • Armenian: Ձեզ կարող է անվճար լեզվական աջակցություն տրամադրվել օրը 24 ժամ, շաբաթը 7 օր: Դուք կարող եք պահանջել բանավոր թարգմանչի ծառայություններ, Ձեր լեզվով թարգմանված կամ այլընտրանքային ձևաչափով պատրաստված նյութեր: Դուք նաև կարող եք խնդրել օժանդակ օգնություններ և սարքեր մեր հաստատություններում: Օգնության համար զանգահարեք մեր Անդամների սպասարկման կապի կենտրոն օրը 24 ժամ, շաբաթը 7 օր (տոն օրերին փակ է): • Medi-Cal` 1-855-839-7613 (TTY 711) • Այլ` 1-800-464-4000 (TTY 711) Chinese: 我们每周7天，每天24小时免费提供语言帮助。您可以要求提供口译员、或将材料翻译为您所用语言或其他格式。您还可以在我们的设施中要求使用辅助工具和设备。请打电话给我们的会员服务联络中心，服务时间为每周7天，每天24小时（节假日除外）。 • 所有会员：1-800-757-7585 (TTY 711) تامدخ ديناوتیم .تسامش رايتخا رد ناگيار تروصهب هتفه زور 7 و زورهنابش تعاس 24 رد ینابز تامدخ :Farsi و اههاگتسد ديناوتیم نينچمه .دينک تساوخرد ار رگيد یاهت مرف هب اي دوخ نابز هب کرادم همجرت اي ،یهافش مجرتم زجهب) هتفه زور 7 و زورهنابش تعاس 24 رد ،کمک تفايرد یارب .دييامن تساوخرد ام زکارم رد ار رگيد یاهکمک .ديريگب سامت ام یاضعا تامدخ سامت زکرم اب (تلايطعت (TTY 711) 1-855-839-7613 :Medi-Cal • (TTY 711) 1-800-464-4000 :رياس •

CA VERSION Hindi: ǒ–“ȡͩ€ Ȣ›ȡ‚€ȯ —ȡŸȡ ¡ȡ™ȡ, Ǒ ‘“€ȯ 24 ƒȲŠȯ, Üȡ¡€ȯ ȡɉǑ‘“`”›Þ’¡@ ɇ ]”‘—ȡͪŸ™ȯ€ȧ ȡȯ jȲ€ȯ ͧ›f, ™ȡǒ–“ȡͩ€ Ȣ›ȡ‚€ȯ ȡ˜ͬĒ™ɉ€Ȫ\”“Ȣ—ȡŸȡ˜\“ȡ‘ Ʌ Ǖ Ǖ €šȡ“ȯ€ȯ ͧ›f, ™ȡȰ€ǔã”€ĤȡǾ”ɉ€ȡ\“šȪ’€š €ȯ¡@]”¡˜ȡšȯ ͪ’ȡ-è›ɉ˜ ɇ Ʌ Ǖ Ǖ ¡ȡ™€ ȡ’“ɉkš`”€šŽɉ€ȯͧ›f—Ȣ\“šȪ’€š €ȯ¡@ ¡ȡ™ȡ€ȯͧ›f ¡˜ȡšȣ ‘è™ ɇ Ǖ ȡȯ jȲ€ȯ à”€[€ġ€Ȫ, Ǒ‘“ €ȯ 24 ƒȲŠȯ, Üȡ¡€ȯ ȡɉǑ‘“(†ɪǑŠ™ɉȡ›ȯ Ǒ‘“–Ȳ‘š¡ȡ Ʌ Ǖ ¡Ȱ)€Ȩ›€š@ Ʌ • Medi-Cal1-855-839-7613 (TTY 711) • –ȡ€ȧ‘ šȯ:1-800-464-4000 (TTY 711) Ǘ Hmong: Muaj kev pab txhais lus pub dawb rau koj, 24 teev tuaj ib hnub twg, 7 hnub tuaj ib lim tiam twg. Koj thov tau cov kev pab txhais lus, muab cov ntaub ntawv txhais ua koj hom lus, los yog ua lwm hom. Koj kuj thov tau lwm yam kev pab thiab khoom siv hauv peb tej tsev hauj lwm. Hu rau peb Qhov Chaw Pab Cov Tswv Cuab 24 teev tuaj ib hnub twg, 7 hnub tuaj ib lim tiam twg (cov hnub caiv kaw). • Medi-Cal: 1-855-839-7613 (TTY 711) • Dua lwm cov: 1-800-464-4000 (TTY 711) Japanese: 多言語による情報支援を無料で24時間年中無休でご利用いただけます。通訳サービス、日本語に翻訳された資料、あるいは別の形式による資料もご所望いただけます。また、当施設における補助的な支援や機器についてもご所望いただけます。お気軽にご連絡ください（祝祭日を除き24時間週7日）。 • Medi-Cal: 1-855-839-7613 (TTY 711) • その他のご連絡先: 1-800-464-4000 (TTY 711) Khmer (Cambodian): ĐșřȇŻŴƤ óǽƿŅóǯŅȔŊƊĨƉȥƴŚéȒƯȋŻ 24 ȒŹȟ āéśȃāŶȇŻȔŊĂ 7 ȔŊĂéś ȃāŶȇŻơšƪȫɇ ƴŚéƷĆȒơŚȋơȁșȒơƑƴŚéŞéȓƅŞ ŞĠǝéƤƄȓĨƉšřŞéȓƅŞ ēŴƤȓîŷƄ ņ ǔŏƅŶāȥĐșřȇơȒŧƢāɊȒŏȐŅɇ ƴŚééȷƷĆȒơŚȋơȁșǅŞéƄŀȫřǯāŞƄìǰ ï ƄĐșřȇŻ ŏșŜéȥŏșřāơƅŹŞȥƴŚéŬǯìƄȒŝŏǵňșāƄŞơȥȒŻȋāŧāȓĨƄɇ ŏȄƄơȽŬŐȒœŶĐĖŶŀĳƉ ŏșŜéȥŏșřāȒơƑéŶŷơŹĐǯéƄŞơȥȒŻȋāơƅŹŞȥĐșřȇŻ24 ȒŹȟ āéśȃāŶȇŻȔŊĂ 7 ȔŊĂéśȃāŶȇŻơš ņ ƪȫ (ȔŊĂĕŞȥơƅŹéŞǯŏ)ɇ • Medi-Cal: 1-855-839-7613 (TTY 711) • ȒŧƢāȒŏȐŅŒāƹș ơȥ: 1-800-464-4000 (TTY 711) Korean: 요일 및 시간에 관계없이 언어지원 서비스를 무료로 이용하실 수 있습니다. 귀하는 통역 서비스 또는 귀하의 언어로 번역된 자료 또는 대체 형식의 자료를 요청할 수 있습니다. 또한 저희 시설에서 보조기구 및 기기를 요청하실 수 있습니다. 저희 가입자 서비스 연락 센터에 주 7일, 하루 24시간(공휴일 휴무) 전화하셔서 도움을 받으십시오. • Medi-Cal: 1-855-839-7613 (TTY 711) • 기타 모든 경우: 1-800-464-4000 (TTY 711)

CA VERSION Ǿ Ǿ Ǿ Ǿ Laotian: ǡǰ ǏǭǚǔǾǥǕǸǧǲ ǨǖǿǭǚǟǭǦǭǛȃ ǸǦǕǑǾǭǻǧǿǹǏǾǙǾ ǭǚ, 24 ǔǵ ǥǺǡǒǗȃ ǥǬ ǚ , 7 ǥǬ ǚ Ǘȃ ǨǭǙǯ ǖ . ǙǾ ǭǚǕǬ ǒ Ǧǭ Ƕ Ǿ Ǿ ǡǭǖǐȃ Ǜȃ Ǥǯ ǏǭǚǝǿǹǜǟǭǦǭ ǧǲ ǸǨǏǫǦǭǚǙǰ ǹǜǸ ǜǬ ǚ ǟǭǦǭǐǨǒǙǾǭǚ ǧǲ ǻǚǩǛǹǛǛǨǲ ǚǼǖǿ. ǙǾǭǚǕǬ ǒ Ǧǭǡǭǖǐȃ Ǵ Ǵ Ƕ Ƕ Ǿ Ǿ Ǿ ǨǜǫǏǨǚǔǾǥǕǸ Ǧǰ ǡ ǹǤǫ ǸǑǲ Ǩǒǡǲ ǢǦǫǘǭǚǛȃ Ǥǯ ǏǭǚǐǨǒǟǥǏǸ ǩǵ ǭ Ǽǖǿ. ǺǙǧǭǦǚǗǯ ǖ Ǘȃ Ǜȃ Ǥǯ ǏǭǚǦǫǡǭǔǯ Ǐ Ǵ Ǵ ǳ Ǿ Ǿ Ǿ Ǿ ǐǨǒǟǥǏǸǩǵ ǭ Ǹǟǲ Ǩǐȃ ǑǥǭǡǔǾǥǕǸǧǲ Ǩ, 24 ǔǵ ǥǺǡǒǗȃ ǥǬ ǚ , 7 ǥǬ ǚ Ǘȃ ǨǭǙǯ ǖ (ǜǯ ǖ ǻǚǥǬ ǚ ǟǬ Ǐ ). Ƕ • Medi-Cal: 1-855-839-7613 (TTY 711) Ǿ • Ǩǲ ǚǽǙǬ ǒ ȏǵ ǖ : 1-800-464-4000 (TTY 711) Mien: Mbenc nzoih liouh wangv-henh tengx nzie faan waac bun muangx meih maiv cingv, yietc hnoi mbenc maaih 24 norm ziangh hoc, yietc norm leiz baaix mbenc maaih 7 hnoi. Meih se haih tov heuc tengx faan benx meih nyei waac bun muangx, a’fai zoux benx nyungc horngh jaa-sic zoux benx meih nyei waac. Meih corc haih tov tengx nyungc horngh jaa-dorngx aengx caux jaa-sic nzie bun yiem njiec zorc goux baengc zingh gorn zangc. Beiv hnangv qiemx zuqc longc mienh nzie weih nor douc waac lorx taux yie mbuo ziux goux baengc mienh nyei gorn zangc, yietc hnoi tengx duqv 24 norm ziangh hoc, yietc norm leiz baaix tengx duqv 7 hnoi (simv cuotv gingc nyei hnoi se guon oc). • Medi-Cal: 1-855-839-7613 (TTY 711) • Yietc zungv da’nyeic deix: 1-800-464-4000 (TTY 711) Navajo: Díí hózhó nízhoní bee hane’ dóó jíik’ah jóóní doonílwo’. Ndik’é yádi naaltsoos bee haz’áanii bee hane’ dóó yádi nihookaa dóó nádááhágíí yádi nihookaa. Shí éí bee háídínii bibee’ haz’áanii dóó bee t’ah kodí bízíkinii wo’da’gi doolyé. Ahéhee’ bik’ehgo nohólǫǫn’ígíí, 24 t’áádawołíí, 7 t’áádawołíígo (t’áadoo t’áálwo’). • Medi-Cal: 1-855-839-7613 (TTY 711) • Yadilzingo biłk’ehgo bee: 1-800-464-4000 (TTY 711) Punjabi: bUR b?^c ZaAN Pf, bPR Pf 24 B† I, f _TNf Pf 7 bPR, Va]a ^_a7Na Nd_aKf Z8 9SZUQ _g‘ Nd^€ PdVa]c; Pc64 ^f\a\ Z8, F ^WǊAYc64 R e† 6SMc Va©a b\Ǌ D 5Rd\aP ?Y\a9M Z8, F b?^f \Ǌ @ ?Y ^?Pf _h‘ Nd^€ ^aKc64 ^db\Qa\ b\Ǌ D \c ^_a7? ^aQR 5Nf TaYWgI b\Ǌ D S‡aSN ?YR Z8 UfRNc 9S?YM Z8 UfRNc ?Y ^?Pf _‘ WPP Z8 ^aKc W‚UY ^f\a\ Pf ^†SY? ?PY R e† , bPR Pf 24 B† I, f _TNf Pf 7 bPR (EdǊIc64 \aZf bPR U† P Yb_†Pa _g) ?aǊZ ?Yh‘ • Medi-Cal: 1-855-839-7613 (TTY 711) • _hY ^aYf: 1-800-464-4000 (TTY 711) Russian: Языковая помощь доступна для вас бесплатно круглосуточно, ежедневно. Вы можете запросить услуги переводчика или материалы, переведенные на ваш язык или в альтернативные форматы. Вы также можете заказать вспомогательные средства и приспособления. Для получения помощи позвоните в наш центр обслуживания участников ежедневно, круглосуточно (кроме праздничных дней). • Medi-Cal: 1-855-839-7613 (линия TTY 711) • Все остальные: 1-800-464-4000 (линия TTY 711)

CA VERSION Spanish: Tenemos disponible asistencia en su idioma sin ningún costo para usted 24 horas al día, 7 días a la semana. Usted puede solicitar los servicios de un intérprete, que los materiales se traduzcan a su idioma o formatos alternativos. También puede solicitar recursos para discapacidades en nuestros centros de atención. Llame a nuestra Central de Llamadas de Servicio a los Miembros para recibir ayuda 24 horas al día, 7 días a la semana (excepto los días festivos). • Para todos los demás: 1-800-788-0616 (TTY 711) Tagalog: May magagamit na tulong sa wika nang wala kayong babayaran, 24 na oras sa isang araw, 7 araw sa isang linggo. Maaari kayong humiling ng mga serbisyo ng interpreter, o mga babasahin na isinalin sa inyong wika o sa mga alternatibong format. Maaari rin kayong humiling ng mga pantulong na gamit at device sa aming mga pasilidad. Tawagan ang aming Center sa Pakikipag-ugnayan ng Serbisyo sa Miyembro para sa tulong, 24 na oras sa isang araw, 7 araw sa isang linggo (sarado sa mga pista opisyal). • Medi-Cal: 1-855-839-7613 (TTY 711) • Lahat ng iba pa: 1-800-464-4000 (TTY 711) ่ Thai: มบรี กิ ารชวยเหล่ อดื านภ้ าษาตลอด 24 ชวโั มงทุกวนั โดยไม่มคี าใ่ ชจ้ าย่ โดยคณุ สามารถขอใชบ้ รกิ าร ่ ่ ลาม่ บรกิ ารแปลเอกสารเป็นภาษาของคณุ หรอื ในรปู แบบอนื ๆ ได ้คณุ สามารถขออปุ กรณแ์ ละเครอื งมอื ่ ่ ่ ชวย่ เหลอื ไดท้ ศี นู ยบ์ รกิ ารของเราโดยโทรหาเราทศี นู ยต์ ดติ อ่ ฝ่ ายบรกิ ารสมาชกิ ของเราเพอื ขอความ ่ ชวยเหล่ อตลอด ื 24 ชวโั มงทุกวนั (ปิดท าการในชวง่ วนั หยุด) • Medi-Cal: 1-855-839-7613 (TTY 711) ่ ่ ้ • ทอี นื ๆทงั หมด: 1-800-464-4000 (TTY 711) Ukrainian: Послуги перекладача надаються безкоштовно, цілодобово, 7 днів на тиждень. Ви можете зробити запит на послуги усного перекладача або отримання матеріалів у перекладі мовою, якою володієте, чи в альтернативних форматах. Також ви можете зробити запит на отримання допоміжних засобів і пристроїв у закладах нашої мережі компаній. Телефонуйте в наш контактний центр для обслуговування клієнтів цілодобово, 7 днів на тиждень (крім святкових днів). • Medi-Cal: 1-855-839-7613 (TTY 711) • Усі інші: 1-800-464-4000 (TTY 711) Vietnamese: Dịch vụ hỗ trợ ngôn nữ được cung cấp miễn phí cho quý vị 24 giờ mỗi ngày, 7 ngày trong tuần. Quý vị có thể yêu cầu dịch vụ thông dịch, hoặc tài liệu được dịch ra ngôn ngữ của quý vị hoặc nhiều hình thức khác. Quý vị cũng có thể yêu cầu các phương tiện trợ giúp và thiết bị bổ trợ tại các cơ sở của chúng tôi. Gọi cho Trung Tâm Liên Lạc ban Dịch Vụ Hội Viên của chúng tôi để được trợ giúp, 24 giờ mỗi ngày, 7 ngày trong tuần (trừ các ngày lễ). • Medi-Cal: 1-855-839-7613 (TTY 711) • Mọi chương trình khác: 1-800-464-4000 (TTY 711)

CA VERSION Nondiscrimination Notice Discrimination is against the law. Kaiser Permanente1 follows State and Federal civil rights laws. Kaiser Permanente does not unlawfully discriminate, exclude people, or treat them differently because of age, race, ethnic group identification, color, national origin, cultural background, ancestry, religion, sex, gender, gender identity, gender expression, sexual orientation, marital status, physical or mental disability, medical condition, source of payment, genetic information, citizenship, primary language, or immigration status. Kaiser Permanente provides the following services: • No-cost aids and services to people with disabilities to help them communicate better with us, such as:  Qualified sign language interpreters  Written information in other formats (braille, large print, audio, accessible electronic formats, and other formats) • No-cost language services to people whose primary language is not English, such as:  Qualified interpreters  Information written in other languages If you need these services, call our Member Service Contact Center, 24 hours a day, 7 days a week (closed holidays). The call is free: • Medi-Cal: 1-855-839-7613 (TTY 711) • All others: 1-800-464-4000 (TTY 711) 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, or another format, call our Member Service Contact Center and ask for the format you need. How to file a grievance with Kaiser Permanente You can file a discrimination grievance with Kaiser Permanente if you believe we have failed to provide these services or unlawfully discriminated in another way. You can file a grievance by phone, by mail, in person, or online. Please refer to your Evidence of Coverage or Certificate of Insurance for details. You can call Member Services for more information on the options that apply to you, or for help filing a grievance. You may file a discrimination grievance in the following ways: • By phone: Medi-Cal members may call 1-855-839-7613 (TTY 711). All other members may call 1-800-464-4000 (TTY 711). Help is available 24 hours a day, 7 days a week (closed holidays) • By mail: Download a form at kp.org or call Member Services and ask them to send you a form that you can send back. 1 Kaiser Permanente is inclusive of Kaiser Foundation Health Plan, Inc, Kaiser Foundation Hospitals, The Permanente Medical Group, and the Southern California Medical Group

CA VERSION • In person: Fill out a Complaint or Benefit Claim/Request form at a member services office located at a Plan Facility (go to your provider directory at kp.org/facilities for addresses) • Online: Use the online form on our website at kp.org You may also contact the Kaiser Permanente Civil Rights Coordinator directly at the addresses below: Attn: Kaiser Permanente Civil Rights Coordinator Member Relations Grievance Operations P.O. Box 939001 San Diego CA 92193 How to file a grievance with the California Department of Health Care Services Office of Civil Rights (For Medi-Cal Beneficiaries Only) You can also file a civil rights complaint with the California Department of Health Care Services Office of Civil Rights in writing, by phone or by email: • By phone: Call DHCS Office of Civil Rights at 916-440-7370 (TTY 711) • By mail: 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 at: http://www.dhcs.ca.gov/Pages/Language_Access.aspx • Online: Send an email to [email protected] How to file a grievance with the U.S. Department of Health and Human Services Office of Civil Rights You can file a discrimination complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You can file your complaint in writing, by phone, or online: • By phone: Call 1-800-368-1019 (TTY 711 or 1-800-537-7697) • By mail: 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: https://www.hhs.gov/ocr/complaints/index.html • Online: Visit the Office of Civil Rights Complaint Portal at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

WA VERSION Notice of Nondiscrimination Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. (“Kaiser Permanente”) comply with applicable Federal and Washington state civil rights laws and do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or any other basis protected by applicable federal, state, or local law. We also: • Provide free aids and services to people with disabilities to communicate effectively with us, such as: – Qualified sign language interpreters – Written information in other formats (large print, audio, accessible electronic formats, and other formats) – Assistive devices (magnifiers, Pocket Talkers, and other aids) • Provide 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 Member Services at 1-888-901-4636 (TTY 711). If you believe that Kaiser Permanente has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity, you can file a grievance with our Civil Rights Coordinator by writing to P.O. Box 35191, Mail Stop: RCR-A3S-03, Seattle, WA 98124-5191 or calling Member Services at the number listed above. You can file a grievance by mail, phone, or online at kp.org/wa/feedback. If you need help filing a grievance, our Civil Rights Coordinator 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, DC 20201, 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html • The Washington State Office of the Insurance Commissioner, electronically through the Office of the Insurance Commissioner Complaint portal available at https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status, or by phone at 800-562-6900, 360-586-0241 (TDD). Complaint forms are available at https://fortress.wa.gov/oic/onlineservices/cc/pub/complaintinformation.aspx 2022-XB-7_ACA_Notice_Taglines

WA VERSION Multi-language Interpreter Services English: ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-888-901-4636 (TTY 711). Español (Spanish): ATENCIÓN: Si habla español, tiene disponibles servicios de ayuda con el idioma sin cargo. Llame al 1-888-901-4636 (TTY 711). 中文注意：中文 (Chinese)：：注意：如果您說中文，您可以免費獲得語言援助服務。請致電1-888-901-4636 (TTY 711)。 Tiếng Việt (Vietnamese): CHÚ Ý: Nếu quý vị nói tiếng Việt, quý vị có thể sử dụng dịch vụ hỗ trợ ngôn ngữ miễn phí của chúng tôi. Xin gọi số 1-888-901-4636 (TTY 711). 한한국어국어 (Korean): 참고참고: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 제공해 드립니다. 1-888-901-4636(TTY 711)번으로 문의하십시오. Русский (Russian): ВНИМАНИЕ! Если вы говорите по-русски, вам доступны бесплатные услуги переводчика. Звоните по номеру 1-888-901-4636 (TTY 711). Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-901-4636 (TTY 711). Українська (Ukrainian): УВАГА! Якщо ви розмовляєте українською мовою, вам доступні безкоштовні послуги перекладу. Телефонуйте за номером 1-888-901-4636 (TTY 711). ំំ ំំ ភាសាខ្មែរ (Khmer)៖ សូមយកចត្តទុកដាក៖់ ប្រសនប អ្នកនយាយភាសាខ្មែរ សសវាកមែជនួយខ្ននកភាសាសដាយមនគតថ្លៃគ មានសប្មារ់អ្ន ិ ិ ើ ិ ិ ិ ឺ ក។ ទូរស័ព្ទសៅសេម 1-888-901-4636 (TTY 711)។ 日本語日本語 (Japanese): 注意事項：注意事項：無料の日本語での言語サポートをご利用いただけます。 1-888-901-4636 (TTY 711) まで、お電話にてご連絡ください。 አማርኛ (Amharic)፥ ማሳሰቢያ፥ የሚናገሩት ቋን አማርኛ ፥ ማሳሰቢያ፥ ቋ አማርኛ ከሆነ የትርጉም እገዛ አገልግሎቶች፣ በነጻ ለእርስዎ ይቀርባሉ፡ ወደ 1-888-901-4636 (TTY 711) ይደዉሉ። Oromiffa (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa yoo ta’e, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. 1-888-901-4636 (TTY 711) irraatti bilbilaa. ੀਂ ਪੰਜਾਬੀ (Punjabi): ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸ ਪੰਜਾਬ ਬੋਲਦੇ ਹੋ, ਤਾੀਂ ਭਾਸਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾੀਂ ਤੁਹਾਡੇ ਲਈ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। 1-888-901-4636 (TTY 711) ‘ਤੇ ਕਾਲ ਕਰੋ। ً . : اناجم ،كل ةرفوتم ،ةيوغللا ةدعاسملا تامدخ نإف ،ةيبرعلا ةغللا ثدحتت تنك اذإ :هابتنا (Arabic) ة يبرعلا ) TTY 711( 1-888-901-4636 م قر ل ا ب لصتا Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-901-4636 (TTY 711). ພາສາລາວ (Lao): ໂປດຊາບ: ຖ າວ າທ ານເວ າພ າ ສ າ ລ າ ວ , 711). ແ ມ ນ ຈ ະ ມ ກ າ ນ ບ ລ ກ າ ນ ຊ ວ ຍ ເ ຫ ອ ດ າ ນ ພ າ ສ າ ໂ ດ ຍ ບ ເ ສ ຍ ຄ າ ໃຫ ແ ກ ທ າ ນ . ໂທ 1-888-901-4636 (TTY XB0001444-58-22

HI VERSION NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide free aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats • Provide 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, call 1-800-966-5955 (TTY: 711) If you believe that Kaiser Health Plan 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 by mail or phone at: Membership Services Attn: Kaiser Civil Rights Coordinator 711 Kapiolani Blvd Honolulu, HI 96813 1-800-966-5955 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, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. _______________________________________________________ HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-966-5955 (TTY: 711). Cebuano (Bisaya) ATENSYON: Kung nagsulti ka og Cebuano, aduna kay magamit nga mga serbisyo sa tabang sa lengguwahe, nga walay bayad. Tawag sa 1-800-966-5955 (TTY: 711). 中文(Chinese)注意：如果您使用繁體中文注意：，您可以免費獲得語言援助服務。請致電中文 1-800-966-5955（TTY：711）。 60577110_ACA_1557_MarCom_HI_2017_Taglines

HI VERSION Chuuk (Chukese) MEI AUCHEA: Ika iei foosun fonuomw: Foosun Chuuk, iwe en mei tongeni omw kopwe angei aninisin chiakku, ese kamo. Kori 1-800-966-5955 (TTY: 711). ʻŌlelo Hawaiʻi (Hawaiian) E NĀNĀ MAI: Inā hoʻopuka ʻoe i ka ʻōlelo Hawaiʻi, hiki iā ʻoe ke loaʻa i ke kōkua manuahi. E kelepona i ka helu 1-800-966-5955 (TTY: 711). Iloko (Ilocano) PAKDAAR: No agsasaoka iti Ilokano, dagiti awan bayadna a serbisio a para iti beddeng ti lengguahe ket sidadaan para kenka. Awagan ti 1-800-966-5955 (TTY: 711) 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日本語注意事項：ただけます。1-800-966-5955（TTY:711）まで、お電話にてご連絡ください。 한한국국어어 (Korean) 주주의의: : 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-966-5955(TTY: 711)번으로 전화해 주십시오. ລາວ ໂປດຊາບ: ້ ລາວ (Laotian) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫຼື ອດ້ານພາສາ, ່ ໂດຍບໍ ເສັ ຽຄ່າ, ແມ່ນມີ ພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-966-5955 (TTY: 711). Kajin Majōḷ (Marshallese) LALE: Ñe kwōj kōnono Kajin Ṃajōḷ, kwomaroñ bōk jerbal in jipañ ilo kajin ṇe aṃ ejjeḷọk wōṇāān. Kaalọk 1-800-966-5955 (TTY: 711). Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’déé’, t’áá jiik’eh, éí ná hóló, koji’ hódíílnih 1-800-966-5955 (TTY: 711). ̖̖ ̖ ̖ Lokaiahn Pohnpei (Pohnpeian) MEHN KAIR: Ma komw kin lokiaiahn Pohnpei, wasahn sawas en palien lokaia kak sawas ni sohte isais. Koahl nempe 1-800-966-5955 (TTY: 711). Faa-Samoa (Samoan) MO LOU SILAFIA: Afai e te tautala Gagana fa'a Sāmoa, o loo iai auaunaga fesoasoani, e fai fua e leai se totogi, mo oe, Telefoni mai: 1-800-966-5955 (TTY: 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-966-5955 (TTY: 711). Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-966-5955 (TTY: 711). Lea Faka-Tonga (Tongan) FAKATOKANGA’I: Kapau ‘oku ke Lea Faka-Tonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-800-966-5955 (TTY: 711). 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 1-800-966-5955 (TTY: 711). 60577110_ACA_1557_MarCom_HI_2017_Taglines

MAS VERSION NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (Kaiser Health Plan) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats • Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these services, call 1-800-777-7902 (TTY: 711) If you believe that Kaiser Health Plan 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 by mail or phone at: Kaiser Permanente, Appeals and Correspondence Department, Attn: Kaiser Civil Rights Coordinator, 2101 East Jefferson St., Rockville, MD 20852, telephone number: 1-800-777-7902. 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, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. In the event of dispute, the provisions of the approved English version of the form will control. ____________________________________________________________________ HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-777-7902 (TTY: 711). አአማማርኛርኛ (Amharic) ማስታማስታወሻወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-777-7902 (TTY: 711). مقرب لصتا .ناجملاب كل رفاوتت ةيوغللا ةدعاسملا تامدخ نإف ،ةيبرعلا ثدحتت تنك اذإ :ةظوحلم (Arabic) ةيبرعلا .)711 :TTY( 1-800-777-7902 ̌ Ɓasɔɔ Wuɖu (Bassa) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m Ɓàsɔɔ-wùɖù-po-nyɔ jǔ ní, ́ ̀ ̀ ̀ ̀ ́ ̀ ̀ nìí, à wuɖu kà kò ɖò po-poɔ ɓɛìn m gbo kpáa. Ɖá 1-800-777-7902 (TTY: 711) ̀ ́ ̀ ব বাাংলা লፌ᎚য করনু ঃঃ যদি আপদন বাাংলা, কথা বলতে পাতরন, োহতল দনঃখরচায় ভাষা সহায়ো পদরতষবা উপল্ፓ আতে। াাংলা (Bengali) লፌ᎚য করনু ফ ান করন ু 1-800-777-7902 (TTY: 711)। 中文中文 (Chinese) 注注意：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 1-800-777-7902（TTY：711）。 60577108_ACA_1557_MarCom_MAS_2017_Taglines

MAS VERSION مهارف امش یارب ناگيار تروصب ینابز تلايهست ،دينک یم وگتفگ یسراف نابز هب رگا :هجوت (Farsi) یسراف .ديريگب سامت (711 :TTY) 1-800-777-7902 اب .دشاب یم Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-777-7902 (TTY: 711). Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-777-7902 (TTY: 711). ુ ુ ુુ ુ ુ ગ ગજજરરાાતતીી (Gujarati) સસચચનનાા:: જો તમ ે ગજરાતી બોલતા હો, તો નન:શલ્ક ભાષા સહાય સેવાઓ ે તમારા માટ ઉપલબ્ધ છે. ફોન કરો 1-800-777-7902 (TTY: 711). Kreyòl Ayisyen (Haitian Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-777-7902 (TTY: 711). ह हिन्दी ध्यान दें ििं दी बोलते िैं तो आ प के ललए मुफ्त में भाषा सिायता सेवाएिं उपलब्ध िन्दी (Hindi) ध्यान दें: यहद आप ह िैं । 1-800-777-7902 (TTY: 711) पर कॉल करें। Igbo (Igbo) NRỤBAMA: Ọ bụrụ na ị na asụ Igbo, ọrụ enyemaka asụsụ, n’efu, dịịrị gị. Kpọọ 1-800-777-7902 (TTY: 711). Italiano (Italian) ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-777-7902 (TTY: 711). 日日本語注意事項：本語を話される場合、無料の言語支援をご利用いただ本語 (Japanese) 注意事項：日けます。1-800-777-7902（TTY: 711）まで、お電話にてご連絡ください。 한한국국어어 (Korean) 주주의의:: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-777-7902 (TTY: 711) 번으로 전화해 주십시오. Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’déé’, t’áá jiik’eh, éí ná hóló, koji’ hódíílnih 1-800-777-7902 (TTY: 711). ̖ ̖ ̖ ̖ Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-777-7902 (TTY: 711). Pусский (Russian) ВНИМАНИЕ: eсли вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-777-7902 (TTY: 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-777-7902 (TTY: 711). Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-777-7902 (TTY: 711). ้ ่ ไทย (Thai) เรียน: ถา้ คณุ พดู ภาษาไทย คณุ สามารถใชบรกิ ารชวยเหลอื ทางภาษาไดฟ้ ร ี โทร 1-800-777-7902 (TTY: 711). ُ لاک ۔ ںيہ بايتسد ںيم تفم تامدخ یک ددم یک نابز وک پآ وت ،ںيہ ےتلوب ودرا پآ رگا :رادربخ (Urdu) ودرا . ںيرک (711 :TTY) 1-800-777-7902 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 1-800-777-7902 (TTY: 711). Yorùbá (Yoruba) AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-800-777-7902 (TTY: 711). 60577108_ACA_1557_MarCom_MAS_2017_Taglines

NW VERSION Nondiscrimination Notice Kaiser Foundation Health Plan of the Northwest (Kaiser Health Plan) complies with applicable federal and state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, gender identity, or sexual orientation. We also:  Provide no cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats  Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these services, call Member Services at 1-800-813-2000 (TTY: 711). If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation, you can file a grievance with our Civil Rights Coordinator, by mail, phone, or fax. If you need help filing a grievance, our Civil Rights Coordinator is available to help you. You may contact our Civil Rights Coordinator at: Member Relations Department, Attention: Kaiser Civil Rights Coordinator, 500 NE Multnomah St. Ste 100, Portland, OR 97232-2099, Phone: (TTY: ), Fax: 1-800-813-2000 711 1-855-347-7239. 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, DC 20201, Phone: 1-800-368-1019, TDD: 1-800-537-7697. Complaint forms are available at www.hhs.gov/ocr/office/file/index.html. For Washington Members You can also file a complaint with the Washington State Office of the Insurance Commissioner, electronically through the Office of the Insurance Commissioner Complaint portal, available at https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status, or by phone at 1-800-562-6900, or 360-586-0241 (TDD). Complaint forms are available at https://fortress.wa.gov/oic/onlineservices/cc/pub/complaintinformation.aspx. 60576526_ACA_1557_MarCom_NW_2022_Taglines

NW VERSION Help in Your Language ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-813-2000 (TTY: 711). አማርኛ (Amharic) ማማስስታታወወሻሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው አማርኛ ቁጥር ይደውሉ 1-800-813-2000 (TTY: 711). .نﺎﺟﻣﻟﺎﺑ كﻟ رﻓاوﺗﺗ ﺔﯾوﻐﻠﻟا ةدﻋﺎﺳﻣﻟا تﺎﻣدﺧ نﺈﻓ ،ﺔﯾﺑرﻌﻟا ثدﺣﺗﺗ تﻧﻛ اذإ :ﺔظوﺣﻠﻣ (Arabic) ﺔﯾﺑرﻌﻟا .(711 :TTY) 1-800-813-2000 مﻗرﺑ لﺻﺗا 中文注意：獲得語言援助服務。請致電1-800-813-2000 中文 (Chinese) 注意：如果您使用繁體中文，您可以免費（TTY：711）。 .دﺷﺎﺑ ﯽﻣ مھارﻓ ﺎﻣﺷ یارﺑ نﺎﮕﯾار تروﺻﺑ ﯽﻧﺎﺑز تﻼﯾﮭﺳﺗ ،دﯾﻧﮐ ﯽﻣ وﮕﺗﻔﮔ ﯽﺳرﺎﻓ نﺎﺑز ﮫﺑ رﮔا :ﮫﺟوﺗ (Farsi) ﯽﺳرﺎﻓ .دﯾرﯾﮕﺑ سﺎﻣﺗ (711 :TTY) 1-800-813-2000 ﺎﺑ Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-813-2000 (TTY: 711). Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-813-2000 (TTY: 711). 日本語注意事項：支援をご利用いただけます。日本語 (Japanese) 注意事項：日本語を話される場合、無料の言語 1-800-813-2000（TTY: 711）まで、お電話にてご連絡ください。 ែខ រ (Khmer) ្របយ័ត ៖ េបើសិន អ កនិ យ ែខ រ, េស ជំនួយែផ ក េ យមិនគិតឈ ល គឺ ច នសំ ប់បំេរអ ក។ ចូរ ទូរស័ព 1-800-813-2000 (TTY: 711)។ 한국어 주의: 어 지원 서비스를 무료로 이용하실 수 있습니다. 한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언 1-800-813-2000 (TTY: 711) 번으로 전화해 주십시오. ້ ່ ລາວ (Laotian) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫືຼ ອດ້ານພາສາ, ໂ ດ ຍ ບໍ ເ ສັ ຽ ຄ່ າ , ແມ່ນມີ ພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-813-2000 (TTY: 711). Afaan Oromoo (Oromo) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-813-2000 (TTY: 711). ਪੰ ਜ ਾ ਬ ੀ (Punjabi) ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤ ਭਾਸ਼ਾ ਿਵੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-800-813-2000 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ। Română (Romanian) ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-813-2000 (TTY: 711). Pусский (Russian) ВНИМАНИЕ: если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-813-2000 (TTY: 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-813-2000 (TTY: 711). Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-813-2000 (TTY: 711). ้ ่ ไทย (Thai) เรียน: ถาค้ ณุ พดู ภาษาไทย คณุ สามารถใชบริการชวยเหลอื ทางภาษาไดฟ้ ร ี โทร 1-800-813-2000 (TTY: 711). Українська (Ukrainian) УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-813-2000 (TTY: 711). 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 1-800-813-2000 (TTY: 711). 60576526_ACA_1557_MarCom_NW_2022_Taglines

CO VERSION NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no-cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats • Provide no-cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these services, call 1-800-632-9700 (TTY 711). If you believe that Kaiser Health Plan 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 by mail at: Customer Experience Department, Attn: Kaiser Permanente Civil Rights Coordinator, 10350 E. Dakota Ave, Denver, CO 80247, or by phone at Member Services 1-800-632-9700 (TTY 711). 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, DC 20201, 1-800-368-1019, (TTY 1-800-537-7697). Complaint forms are available at hhs.gov/ocr/office/file/index.html. ____________________________________________________________________ HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-632-9700 (TTY 711). አአማማርኛርኛ (Amharic) ማማስታስታወወሻሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711). .ناجملاب كل رفاوتت ةيوغللا ةدعاسملا تامدخ نإف ،ةيبرعلا ثدحتت تنك اذإ : ةظوحلم (Arabic) ةيبرعلا . ) 711 TTY( 1-800-632-9700 مق رب لصتا Ɓ愃ఀsɔɔ W甃ɖ甃 (Bassa) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m Ɓàsɔɔ-wùɖù-po-nyɔ jǔ ́ ̀ ̀ ́ ̀ ̀ ní, nìí, à wuɖu kà kò ɖò po-poɔ ɓɛìn m gbo kpáa. Ɖá 1-800-632-9700 (TTY 711) ̀ ́ ̀ 中文 (Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言援中文注意：助服務。請致電 1-800-632-9700（TTY 711）。 60577108_ACA_1557_MarCom_CO_2017_Taglines

CO VERSION یارب ناگيار تروصب ینابز تلايهست ،دينک یم وگتفگ یسراف نابز هب رگا :هجوت (Farsi) یسراف . ديريگب سامت (711 TTY) 1-800-632-9700 اب .دشاب یم مهارف امش Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-632-9700 (TTY 711). Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-632-9700 (TTY 711). Igbo (Igbo) NRỤBAMA: Ọ bụrụ na ị na asụ Igbo, ọrụ enyemaka asụsụ, n’efu, dịịrị gị. Kpọọ 1-800-632-9700 (TTY 711). 日本語 (Japanese) 注意事日本語注意事項：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。1-800-632-9700（TTY 711）まで、お電話にてご連絡ください。 한국어 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 한국어 (Korean) 주의: 이용하실 수 있습니다. 1-800-632-9700 (TTY 711) 번으로 전화해 주십시오. Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’déé’, t’áá jiik’eh, éí ná hóló, koji̖ ’ hódíílnih 1-800-632-9700 (TTY 711). ̖̖ ̖ नेपाली (Nepali) ध्यान दिनहोस: तपा्ሷंले नेपाली बोल्नहन्छ भन े तपा्ሷंको ननम्तत भाषा सहायता ् ु ु ु सेवाहरू ननिःशल्क रूपमा उपलब्ध छ । 1-800-632-9700 )TTY: 711( फोन गनहु ोस । ् ु ु Afaan Oromoo (Oromo) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-632-9700 (TTY 711). Pусский (Russian) ВНИМАНИЕ: eсли вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-632-9700 (TTY 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-632-9700 (TTY 711). Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-632-9700 (TTY 711). 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 1-800-632-9700 (TTY 711). Yorùbá (Yoruba) AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-800-632-9700 (TTY 711). 60577108_ACA_1557_MarCom_CO_2017_Taglines

GA VERSION NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats • Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these services, call 1-888-865-5813 (TTY: 711) If you believe that Kaiser Health Plan 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 by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813. 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, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. ____________________________________________________________________ HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-865-5813 (TTY: 711). አአማማርኛርኛ (Amharic) ማስታማስታወሻወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለውቁጥርይደውሉ1-888-865-5813(TTY:711). .ناجملاب كل رفاوتت ةيوغللا ةدعاسملا تامدخ نإف ،ةيبرعلا ثدحتت تنك اذإ :ةظوحلم (Arabic) ةيبرعلا .)711 :TTY( 1-888-865-5813 مقرب لصتا 中中文文(Chinese) 注意：如果您使用繁體中文注意：，您可以免費獲得語言援助服務。請致電 1-888-865-5813（TTY：711）。 یارب ناگيار تروصب ینابز تلايهست ،دينک یم وگتفگ یسراف نابز هب رگا :هجوت (Farsi) یسراف .ديريگب سامت (711 :TTY) 1-888-865-5813 اب .دشاب یم مهارف امش 60577109_ACA_1557_MarCom_GA_2017_Taglines

GA VERSION Français (French) ATTENTION:Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-865-5813 (TTY: 711). Deutsch (German) ACHTUNG:Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-865-5813 (TTY: 711). ુુ ુ ુ ુ ુ ગજરાતી સચના: ાતી બોલતા હો, તો નન:શલ્ક ભાષા સહાય સેવાઓ ગજરાતી (Gujarati) સચના: જો તમે ગજર તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-888-865-5813 (TTY: 711). Kreyòl Ayisyen (Haitian Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-865-5813 (TTY: 711). ह हििन्न्दीदी (Hindi) ध्ध्ययानान ददेंें: यहद आप हििंदी बोलते िैं तो आ प के ललए मुफ्त में भाषा सिायता सेवाएिं उपलब्ध िैं। 1-888-865-5813 (TTY: 711) पर कॉल करें। 日本語 Japanese)注意事注意事項：項：日本語を話される場合、無料の言語支援をご利用い日本語( ただけます。1-888-865-5813（TTY:711）まで、お電話にてご連絡ください。 한국어( 한국어 Korean)주주의의: : 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-865-5813(TTY: 711)번으로 전화해 주십시오. Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’déé’, t’áá jiik’eh, éí ná hóló, koji’ hódíílnih 1-888-865-5813 (TTY: 711). ̖̖ ̖ ̖ Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-865-5813 (TTY: 711). Pусский (Russian) ВНИМАНИЕ:eсли вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-865-5813 (TTY: 711). Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-865-5813 (TTY: 711). Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-865-5813 (TTY: 711). 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 1-888-865-5813 (TTY: 711). 60577109_ACA_1557_MarCom_GA_2017_Taglines

2024 National Enrollment Guide 1273457997 January 2024