Chương Trình Bˆo Hiˇm S˘c Kh e & Nhân Th Đơn Đăng Ký dành … · C15390-HL-VI (1/18) Đơn đăng ký dành cho nhân viên (dành cho 101+ nhân viên) Trang 1 / 5 Chương

C15390-HL-VI (1/18) n ng k dnh cho nhn vin (dnh cho 101+ nhn vin) Trang 1 / 5

Chng Trnh Bo Him Sc Khe & Nhn Th n ng K dnh cho Nhn Vin Cc chng trnh Blue Shield dnh cho 101+ nhn vin

Blue Shield of California and Blue Shield of California Life & Health Insurance Company (Blue Shield Life)Vui lng lu : Nu khng in y v r rng n ng k ny th quy trnh ng k c th b chm tr.

L do ng k: Tuyn dng mi

Tuyn dng li ngy ____________

Mt bo him ngy ____________ ng k ng hn

ng k mun

Cc loi tiu chun hp l khc______________________

Ngy din ra ____________

Phn 1 Nhng hng dn ng k quan trng i vi Quyn Li Bo Him Chuyn KhoaBo him nha khoa, nhn khoa v bo him nhn th - Nhn vin c th ng k vo chng trnh nha khoa, nhn khoa hoc nhn th m khng cn ng k vo chng trnh bo him sc khe. ngi ph thuc c ng k vo chng trnh nha khoa hoc nhn khoa, nhn vin phi ng k vo cng chng trnh nha khoa hoc nhn khoa.

Vic ng k bo him nhn th ty thuc vo cc quy tc sau y:

1. Tt c khon tin bo him Nhn Th C Bn dnh cho nhn vin ng k, khi hi iu kin u tin v quyn li th s hon ton c m Bo Chi Tr (khng bt buc phi c Bng Chng C Bo Him). Ngi ng k tr bt buc phi c Bng Chng C Bo Him.

2. i vi Bo Him Nhn Th T Nguyn, Bng Chng C Bo Him mang tnh bt buc i vi tt c cc khon c m Bo Chi Tr.

3. Nhn vin phi ng k vo gi Bo Him Nhn Th T Nguyn/AD&D (cht & on chi do tai nn) cho v/chng/bn i sng chung hoc cc con ph thuc th mi iu kin hng gi Bo Him Nhn Th T Nguyn. V/Chng/Bn i Sng Chung v/hoc cc con nu khng c bo him bng gi Nhn Th Dnh Cho Ngi Ph Thuc C Bn th vn iu kin ng k Bo Him Nhn Th T Nguyn.

Phn 2 (Cc) Chng trnh Chn v in tn (cc) chng trnh thch hp.Quyn li y t khng c cc ty chn ABHP (chng trnh chm sc sc kho theo ti khon):

Access+ HMO _____________________ Access+ HMO SaveNetSM _______________ Local Access+ HMO __________________ Added Advantage POSSM ________________ Trio HMO _________________________ Active Choice 1 ______________________ Full PPO __________________________ Full PPO Savings2 ____________________ Tandem PPO _______________________ Tandem PPO Savings __________________ Full PPO ASO/Full PPO ASO Savings2

_______________________________ Blue Shield 65 PlusSM (HMO)

Quyn li y t khng c cc ty chn ABHP (chng trnh chm sc sc kho theo ti khon):

Access+ HMO: HRA HIA FSA Active Choice1: HRA HIA FSALocal Access+ HMO: HRA HIA FSA Full PPO: HRA HIA FSA Full PPO Savings2: HRA HIA FSA HSA LPFSA3 Full PPO ASO: HRA HIA FSAFull PPO ASO Savings2: HRA HIA LPFSA3 HSA FSA

Cc Quyn Li Chuyn Ngnh

Nhm bo him nhn th c bn c thi hn/AD&D1 _____ Bo him nhn th c bn dnh cho ngi ph thuc1 ____ Bo him nhn th b sung1 ____________________ Bo him AD&D b sung1 ______________________ Dental PPO ______________________________ Dental HMO ______________________________ Nhn khoa1 ______________________________ Khc __________________________________

1 c bo him bi Blue Shield of California Life & Health Insurance Company (Blue Shield Life).

2 Cc chng trnh Full PPO Savings l nhng chng trnh sc kho HSA hp l c tnh khu tr cao.

3 Ch c th kt hp vi mt chng trnh HSA.

Lu : Blue Shield khng cung cp t vn thu cng nh chng ti khng cung cp HSAs, HRAs, HIAs, FSAs, hoc LPFSAs.

Ch Lu Hnh Ni B. Khng ghi vo phn ny v b qua n Phn 3.

M phng ban ID Nhm ID Nhm ph ID Hng Ngy hiu lc

Phn 3 Thng tin nhn vinS An Sinh X hi Tn ca (nhm) Ch Lao ng

H Tn Tn m

Tnh trng cng vic:

Ton thi gian Bn thi gian Ngh hu Ngy tuyn dng: ____________________

Chc v/phn loi cng vic

a ch nh - (ng, thnh ph, tiu bang, m ZIP) S tin bo him nhn th c bn/AD&D:

S tin Bo Him Nhn Th T Nguyn:

a ch gi ng bu in (nu khc vi a ch nh)

S tin Bo Him AD&D T Nguyn:

S in thoi nh a ch e-mail

Qu v mun chng ti lin lc vi qu v nh th no? E-mail Th thng thng in thoi

Ngy sinh ____________________ Gii tnh Nam N Tnh trng hn nhn c thn kt hn Bn i sng chung

Cho bit ty chn ngn ng : Ting Anh Ting Ty Ban Nha Ting Hoa Ting Vit Ngn ng khc __________

Qu v c ng k cho v/chng/bn i sng chung v/hoc cc con ph thuc qu v khng C Khng Nu "c", in y Phn 4 trong n ng k.

Thng tin nh cung cp HMO: Trang web danh b Blue Shield of California: blueshieldca.com/fap/app/search.html

Tn ca bc s chm sc chnh (primary care physician, PCP): S ca nh cung cp:

IPA/tn ca nhm y t: IPA/s ca nhm y t: Bnh nhn hin ti? C Khng

Tn nh cung cp dch v nha khoa S ca nh cung cp dch v nha khoa: Bnh nhn hin ti? C Khng

C15390-HL-VI (1/18) n ng k dnh cho nhn vin (dnh cho 101+ nhn vin) Trang 2 / 5

Phn 4 Thng tin ca v/chng/bn i sng chung/cc con ph thuc Nu qu v, v/chng/bn i sng chung hoc ngi ph thuc ca qu v t chi bo him. vui lng in y v k tn mu T Chi Bo Him.

a ch ca ngi ph thuc, nu khc vi a ch ca nhn vin Vui lng nu r (nhng) ngi ph thuc no c p dng:

Thng tin ng k cho v/chng/bn i sng chung

ng k vo (vui lng nh du tt c nu p dng)

Dnh ring cho Access+ HMO v Added Advantage POS tn ca Bc S Ring

Dnh ring cho Dental HMO nh cung cp dch v nha khoa

V/Chng Ngi cng chung sng Nam N

Tn Tn m

H

S An Sinh X hi

Ngy sinh (thng/ngy/nm)

Y t Nha khoa Nhn khoa nb c ht nhN

$________ Nhn th

t nguyn $________

Tn ca bc s

Tn

H

S nh cung cp

IPA/tn ca nhm y t

IPA/s ca nhm y t

Tn nh cung cp dch v nha khoa

Tn

H

S in thoi ca nh cung cp dch v nha khoa

Bnh nhn hin ti? C Khng Bnh nhn hin ti? C Khng

Thng tin ng k cho (cc) con ng k vo (vui lng nh du tt c nu p dng)

Dnh ring cho Access+ HMO v Added Advantage POS tn ca Bc S Ring

Dnh ring cho Dental HMO nh cung cp dch v nha khoa

Nam N

Tn Tn m

H

S An Sinh X hi

Ngy sinh (thng/ngy/nm)

Y t Nha khoa Nhn khoa nb c ht nhN

$________ Nhn th

t nguyn $________

Tn ca bc s

Tn

H

S nh cung cp

IPA/tn ca nhm y t

IPA/s ca nhm y t

Tn nh cung cp dch v nha khoa

Tn

H

S in thoi ca nh cung cp dch v nha khoa

Khuyt tt? C Khng Bnh nhn hin ti? C Khng Bnh nhn hin ti? C Khng

C15390-HL-VI (1/18) n ng k dnh cho nhn vin (dnh cho 101+ nhn vin) Trang 3 / 5

Phn 4 Thng tin ca v/chng/bn i sng chung/cc con ph thuc (tip theo)

Thng tin ng k cho (cc) con ng k vo (vui lng nh du tt c nu p dng)

Dnh ring cho Access+ HMO v Added Advantage POS tn ca Bc S Ring

Dnh ring cho Dental HMO nh cung cp dch v nha khoa

Nam N

Tn Tn m

H

S An Sinh X hi

Ngy sinh (thng/ngy/nm)

Y t Nha khoa Nhn khoa nb c ht nhN

$________ Nhn th

t nguyn $________

Tn ca bc s

Tn

H

S nh cung cp

IPA/tn ca nhm y t

IPA/s ca nhm y t

Tn nh cung cp dch v nha khoa

Tn

H

S in thoi ca nh cung cp dch v nha khoa

Khuyt tt? C Khng Bnh nhn hin ti? C Khng Bnh nhn hin ti? C Khng

Nam N

Tn Tn m

H

S An Sinh X hi

Ngy sinh (thng/ngy/nm)

Y t Nha khoa Nhn khoa nb c ht nhN

$________ Nhn th

t nguyn $________

Tn ca bc s

Tn

H

S nh cung cp

IPA/tn ca nhm y t

IPA/s ca nhm y t

Tn nh cung cp dch v nha khoa

Tn

H

S in thoi ca nh cung cp dch v nha khoa

Khuyt tt? C Khng Bnh nhn hin ti? C Khng Bnh nhn hin ti? C Khng

Phn 5 Ngi th hng bo him nhn th Ngi th hng bo him chnh Blue Shield Life e s thanh ton tin thu c cho ngi th hng bo him chnh. Nu c trn mt ngi c ch nh l ngi th hng bo him chnh, s tin thu c s c phn b ng u cho nhng ngi cn sng ca ngi c bo him, tr phi c cho bit khc trong % quyn li.

Tn Tn m H

S An Sinh X hi Quan h % quyn li Ngy sinh

a ch

Thnh ph Tiu bang M vng

Tn Tn m H

S An Sinh X hi Quan h % quyn li Ngy sinh

a ch

Thnh ph Tiu bang M vng

Ngi th hng th hai S tin thu c s c tr cho mt ngi th hng th hai ch khi khng c ngi th hng chnh no cn sng ca ngi c bo him.

Tn Tn m H

S An Sinh X hi Quan h % quyn li Ngy sinh

a ch

Thnh ph Tiu bang M vng

Nu ngi th hng l mt t chc tn thc hoc cng ty, vui lng cho bit tn v ngy k tha thun tn thc v tuyn b thnh lp.

Tn ca t chc tn thc/cng ty Ngy tn thc Tuyn b thnh lp

LUT TI SN CHUNG TRONG HN NHN Nu qu v kt hn hoc c bn i sng chung, c tr cc tiu bang c lut v ti sn chung (Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington, hoc Wisconsin), v ch nh mt ngi khng phi v/chng/bn i sng chung ca qu v lm ngi th hng bo him, c th vic thanh ton quyn li s b tr hon hoc tranh chp tr phi v/chng/bn i sng chung ca qu v cng k tn vo giy ch nh ngi th hng bo him.Ti ng vi vic ch nh (cc) ngi th hng ni trn.

Tn in hoa ca v/chng/bn i sng chung: _______________________________________________________

Ch k ca v/chng/bn i sng chung: _________________________________________________________ Ngy:__________________

Phn 6 Thng tin Medicare1. Qu v hoc bt k ngi ph thuc no ca qu v hin c c bo v bi Medicare khng? C Khng Nu c, vui lng nh km theo bn sao (cc( th Medicare ca qu v v/hoc chn loi bo him bn di: Phn A: Ngy hiu lc: ________________ (thng/ngy/nm) Phn B: Ngy hiu lc: ________________ (thng/ngy/nm) 2. Vic iu kin nhn Medicare ca qu v c phi l do tnh trng bnh thn giai on cui (end-stage renal disease, ESRD) khng? C Khng Nu "c", vui lng tr li nhng cu hi sau y: a) Ngy iu tr chy thn u tin l khi no, v qu v c iu tr loi chy thn no? Ngy ________________ Loi: Lc mu T chy thn (mng bng) b) Nu qu v c ghp thn, ngy ghp thn l ngy no: ________________ (thng/ngy/nm)

Phn 7 y quyn Phn y quyn sau y s c k bi tt c nhn vin np n bo him vi Blue Shield of California hoc Blue Shield of California Life & Health Insurance Company (Blue Shield Life). Quy trnh ng k ny khng th c x l nu khng c ch k u quyn ca qu v.

Ti ng : Mi thng tin trong mu n ny l chnh xc v ng s tht vi tt c s hiu bit v nim tin ca ti. Ti hiu rng y l c s c th c bo him theo chng trnh. Ti hiu rng nu ti c hnh vi gian ln hoc c trnh by sai bt k s tht quan trng no cng vi n ng k ny, Blue Shield of California/Blue Shield Life c th thc hin mt trong nhng bin php sau y trong vng 24 thng u tin k t khi bo him: khon bo him ca ti c th b hu b hoc, sau khi thng bo 30 ngy, b bi b. Ti hiu rng khon bo him s khng c hiu lc cho n khi n ng k ny v n ng k ca ch lao ng ca ti c Blue Shield of California/Blue Shield Life chp thun.

Ch k ca nhn vin _______________________________________________________________ Ngy ____________________________

Tn in hoa ca nhn vin _____________________________________________________________________________________________

Ti cng u quyn cho ch lao ng ca ti trch khu tr t khon thu nhp ca ti ng gp (nu c) theo yu cu i vi chi ph ca chng trnh ny.

Ch k ca nhn vin ___________________________________________________________ Ngy ______________________________

Tn in hoa ca nhn vin ___________________________________________________________________________________________

Tit l thng tin c nhn v thng tin y tTi Blue Shield of California/Blue Shield Life, chng ti hiu c tm quan trng ca vic bo mt thng tin c nhn ring t ca qu v, v chng ti ly lm ngha v ca mnh thc hin nghim tc. Chng ti c php lut yu cu phi duy tr s ring t v bo mt thng tin c nhn ca qu v di bt k hnh thc no - giy, in t, hoc bng li ni. Tuyn b ny c p dng cho cc thng tin c nhn v qu v v nhng ngi ph thuc c bo him ca qu v m Blue Shield thu thp c, to ra, v/hoc duy tr.

Trong qu trnh qun l bo him Blue Shield ca qu v, chng ti thu thp, s dng v tit l thng tin v qu v v nhng ngi ph thuc c bo him ca qu v, v chng ti to ra cc h s v qu v, cc iu tr y t, cng nh nhng dch v chng ti cung cp cho qu v. Thng tin trong cc h s ny c gi l thng tin sc khe bo mt (vit tt l "PHI") v bao gm thng tin c nhn c kh nng nhn din, v d nh tn, a ch, s in thoi v s An Sinh X Hi, cng nh cc thng tin v sc khe ca qu v, chng hn nh chn on y t hoc thng tin v khiu ni.

Chng ti ly thng tin PHI ca qu v v/hoc ngi ph thuc c bo him ca qu v t qu v, vi s ch nh ca qu v, v/hoc vi s cho php ca qu v. Chng ti cng c c thng tin PHI ny t cc ngun khc theo s cho php ca php lut, bao gm, v d, t nh cung cp dch v chm sc sc khe, cng ty bo him, t chc h tr bo him, chng trnh bo him sc khe, hoc i l bo him ca qu v. Chng ti s dng v tit l thng tin PHI ca qu v qun l bo him Blue Shield ca qu v v nu khng th c php hoc theo yu cu ca php lut. Khi lm nh vy, chng ti c th tit l thng tin PHI ca qu v cho cc bn khc, bao gm, v d, nh cung cp dch v chm sc sc khe, cng ty bo him, t chc h tr bo him, trao i thng tin y t, chng trnh bo him sc khe hoc i l bo him ca qu v.

Blue Shield tun theo Thng Bo Thc Hnh Bo Mt ("Thng Bo") m t quyn ring t ca qu v, ngha v ca chng ti trong vic bo v s ring t ca qu v, v vic chng ti s dng thng tin PHI ca qu v nh th no khi c v khng c y quyn c th ca qu v. Khi chng ti s dng hoc tit l thng tin PHI ca qu v, chng ti b rng buc bi cc iu khon ca Thng Bo, iu c p dng cho tt c cc h s m chng ti to ra, thu c, v/hoc duy tr c cha thng tin PHI ca qu v. Qu v s nhn c Thng Bo ca chng ti khi ng k bo him Blue Shield. Qu v cng c th ly mt bn sao Thng Bo ca chng ti bng cch gi s dch v khch hng trn th ID thnh vin Blue Shield ca qu v hoc bng cch truy cp trang web ca chng ti ti: blueshieldca.com/bsca/about-blue-shield/privacy/confidentiality.sp.

Ti cng u quyn cho ch lao ng ca ti trch khu tr t khon thu nhp ca ti ng gp (nu c) theo yu cu i vi chi ph ca chng trnh ny.

Ch k ca nhn vin ___________________________________________________________ Ngy ______________________________

Tn in hoa ca nhn vin ___________________________________________________________________________________________

Lut php California nghim cm vic cc cng ty bo him sc khe yu cu hoc s dng thng tin xt nghim HIV lm iu kin nhn bo him sc khe.

C15390-HL-VI (1/18) n ng k dnh cho nhn vin (dnh cho 101+ nhn vin) Trang 4 / 5

Chng Thc Ca i L/Ngi Mi GiiChng Thc Ca i L/Ngi Mi Gii h tr np n ng k ny: (1) theo s hiu bit tt nht ca ti, thng tin trong n ng k tham gia ny l y v chnh xc; v (2) ti gii thch cho ngi ng k tham gia, bng ngn ng d hiu, ri ro ca ngi ng k tham gia trong vic cung cp thng tin khng chnh xc v ngi ng k tham gia hiu phn gii thch.

Ch k ca i L/Ngi Mi Gii _______________________________________________ Ngy _________________________

Nu i L/Ngi Mi Gii c tuyn b bt k thng tin thc t quan trng no l tht m ngi bit l gi, ngi phi, bn cnh bt k hnh pht hoc bin php khc phc no c p dng theo lut php hin hnh, phi chu hnh pht dn s ti a l mi nghn -la (10.000 USD). Mi y vin cng t u c quyn thc hin hnh ng dn s p t hnh pht dn s . Cc hnh pht ny s c chi tr cho Qu Bo Him.

C15390-HL-VI (1/18) n ng k dnh cho nhn vin (dnh cho 101+ nhn vin) Trang 5 / 5

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Cng khai: Ti Liu Phin Dch

Xin lu phin bn ting Anh l phin bn chnh thc ca ti liu, v c nh km tham kho. Phin bn ting Vit ny ch dnh cho mc ch thng tin.

Blue Shield of California50 Beale Street, San Francisco, CA 94105 blueshieldca.com

Thng Bo Dnh Cho C Nhn V Yu Cu Khng Phn Bit i X V Kh Nng Tip Cn

Phn bit i x l hnh vi vi phm php lutBlueShieldofCaliforniatunthlutdnslinbanghinhnhvkhngphnbitixdatrnsctc,muda,xutx,tuitc,khuyttthocgiitnh.BlueShieldofCaliforniakhngloitrhocixvimtsngimtcchkhcbitdosctc,muda,xutx,tuitc,khuyttthocgiitnh.

Blue Shield of California:

Cungcpshtrvdchvminphchongikhuytttcthgiaotiphiuquvichng tinh:

- Phindchvinngnngkhiunnglc

- Thngtinbngvnbndinhiunhdngkhc(trongcbninkhln,bnghim,nhdngintcthtipcnvccnhdngkhc)

CungcpdchvngnngminphchocccnhnmngnngchnhkhngphiltingAnh, vd:

- Phindchvinnnglc

- Thngtincvitbngccngnngkhc

Nuquvcnccdchvny,hylinhiuPhiVinQuynDnScaBlueShieldofCalifornia.

NuquvchorngBlueShieldofCaliforniakhngcungcpccdchvnyhoccsphnbitixtheocchkhcdatrnvnsctc,muda,xutx,tuitc,khuyttthocgiitnh,quvcthgithanphinvi:

Blue Shield of California Civil Rights Coordinator P.O.Box629007 ElDoradoHills,CA95762-9007in thoi: (844) 831-4133 (TTY: 711) Fax: (916) 350-7405 Email: [email protected]

Quvcthtrctipgithanphinhocgibngth,faxhocemail.Nuquvcntrgiptrongvicnpthanphin,PiuPhiVinQuynDnScachngtisnsngtrgipquv.

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QuvcngcthnpyucuthanphintheonhdngintvquyndnsviU.S.DepartmentofHealthandHumanServices(BYTVDchVNhnSinhHoaK),PhngDnSthngquaCngThngTinThanPhincaPhngDnS,theoachhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf,hocbngthhocquainthoitheoach:

U.S. Department of Health and Human Services 200IndependenceAvenueSW. Room509F,HHHBuilding Washington,DC20201 (800)368-1019;TTY:(800)537-7697

Biumuthanphinctrnwww.hhs.gov/ocr/office/file/index.html.

IMPORTANT: Can you read this letter? If not, we can have somebody help you read it. You may also be able to get this letter written in your language. For help at no cost, please call right away at the Member/Customer Service telephone number on the back of your Blue Shield ID card, or (866) 346-7198.

IMPORTANTE: Puede leer esta carta? Si no, podemos hacer que alguien le ayude a leerla. Tambin puede recibir esta carta en su idioma. Para ayuda sin cargo, por favor llame inmediatamente al telfono de Servicios al miembro/cliente que se encuentra al reverso de su tarjeta de identificacin de Blue Shield o al (866) 346-7198. (Spanish)

Blue Shield ID /

(866) 346-7198(Chinese)

QUAN TRNG: Qu v c th c l th ny khng? Nu khng, chng ti c th nh ngi gip qu v c th. Qu v cng c th nhn l th ny c vit bng ngn ng ca qu v. c h tr min ph, vui lng gi ngay n Ban Dch v Hi vin/Khch hng theo s mt sau th ID Blue Shield ca qu v hoc theo s (866) 346-7198. (Vietnamese)

MAHALAGA: Nababasa mo ba ang sulat na ito? Kung hindi, maari kaming kumuha ng isang tao upang matulungan ka upang mabasa ito. Maari ka ring makakuha ng sulat na ito na nakasulat sa iyong wika. Para sa libreng tulong, mangyaring tumawag kaagad sanumerong telepono ng Miyembro/Customer Service sa likod ng iyong Blue Shield ID kard, o (866) 346-7198. (Tagalog)

Baa kohwiindzindoo7g7: D77 naaltsoos7sh y77nitago b77n7ghah? Doo b77n7ghahg 7, naaltsoos nich8 yiid0o[tah7g77 a nihee hl=. D77 naaltsoos a[d0 t11 Din4 kehj7 1dooln77[ n7n7zingo b7ighah. Doo b22h 7l7n7g0 sh7k1 adoowo[ n7n7zing0 nihich8 b44sh bee hod7ilnih d00 n1mboo 47 d77 Blue Shield bee n47hod7lzin7g7 bined44 bik11 47 doodag0 47 (866) 346-7198 j8 hod77lnih. (Navajo)

: ? , .

. Blue Shield ID

/ (866) 346-7198 . (Korean)

blueshieldca.com

, , Blue Shield ID , (866) 346-7198 (Armenian)

: ? , . . / , Blue Shield, (866) 346-7198, . (Russian)

Blue Shield ID/(866) 346-7198 (Japanese)

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Blue Shield ID / , (866) 346-7198 (Punjabi)

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(Arabic)).866( 346-7198 Blue Shield

TSEEM CEEB: Koj pos tuaj yeem nyeem tau tsab ntawv no? Yog hais tias nyeem tsis tau, peb tuaj yeem nrhiav ib tug neeg los pab nyeem nws rau koj. Tej zaum koj kuj yuav tau txais muab tsab ntawv no sau ua koj hom lus. Rau kev pab txhais dawb, thov hu kiag rau tus xov tooj Kev Pab Cuam Tub Koom Xeeb/Tub Lag Luam uas nyob rau sab nraum nrob qaum ntawm koj daim npav Blue Shield ID, los yog hu rau tus xov tooj (866) 346-7198. (Hmong)

: / Blue Shield (866) 346-7198 (Thai)

: ? , : Blue Shield ID / , (866) 346-7198 (Hindi)

blueshieldca.com

blueshieldca.com

Notice of the Availability of Language Assistance ServicesBlue Shield of California Life & Health Insurance Company