2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage 67 Chapter 6: Your rights and responsibilities Section 1.6 – You have the right to make complaints and to ask us to reconsider decisions we have made If you have any problems, concerns, or complaints and need to request coverage, or make an appeal, Chapter 7 of this document tells you what you can do. Whatever you do—ask for a coverage decision, make an appeal, or make a complaint—we are required to treat you fairly. Section 1.7 – What can you do if you believe you are being treated unfairly or your rights are not being respected? If it is about discrimination, call the Office for Civil Rights If you believe you have been treated unfairly, your dignity has not been recognized, or your rights have not been respected due to your race, disability, religion, sex, health, ethnicity, creed (beliefs), age, sexual orientation, or national origin, you should call the Department of Health and Human Services' Office for Civil Rights at 1-800-368-1019 or TTY 1-800-537-7697 or call your local Office for Civil Rights. Is it about something else? If you believe you have been treated unfairly or your rights have not been respected, and it's not about discrimination, you can get help dealing with the problem you are having: • You can call Member Services. • You can call the SHIP. For details, go to Chapter 2, Section 3. • Or you can call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week (TTY 1-877-486-2048). Section 1.8 – How to get more information about your rights There are several places where you can get more information about your rights: • You can call Member Services. • You can call the SHIP. For details, go to Chapter 2, Section 3. • You can contact Medicare: ♦ You can visit the Medicare website to read or download the publication Medicare Rights & Protections. (The publication is available at www.medicare.gov/Pubs/pdf/11534-Medicare-Rights-and-Protections.pdf.) ♦ Or you can call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week (TTY 1-877-486-2048). Section 1.9 – Information about new technology assessments Rapidly changing technology affects health care and medicine as much as any other industry. To determine whether a new drug or other medical development has long-term benefits, our plan carefully monitors and evaluates new technologies for inclusion as covered benefits. These technologies include medical procedures, medical devices, and new drugs. 1-877-221-8221 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.