Discrimination is against the law!

Albright LIFE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Albright LIFE Lycoming Clinton does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Albright LIFE provides 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, 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 one of our LIFE Centers:

Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

If you believe that Albright LIFE 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 with:

Albright Care Services
ATTN: Medicare Compliance Officer
90 Maplewood Dr.
Lewisburg, PA 17837
(570) 522-3880 (phone)
TTY: 711
570-524-9068 (fax)

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, the Medicare Compliance Officer is available to help you.

You can also file a civil rights complaint with the U. S. Department of Health and Human Services, Office of Civil Rights, electronically through the Office for Civil Rights Complaints Portal, available at: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html.

Multi-language Interpreter Services

English
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Español (Spanish)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al

Italiano (Italian)
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer:
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Kreyòl Ayisyen (French Creole)
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Pennsilfaanisch Deitsch (Pennsylvania Dutch)
Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff:
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

汉语/漢語 (Chinese)
注意：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
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Pу́сский язы́к (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Multi-language Interpreter Services

język polskih (Polish)
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer

한국어/조선말 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 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
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

العَرَبِيَّة‎‎ (Arabic)
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم رقم
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis.

Français (French) ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

ខ្មែរ (Cambodian)
ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

ગુજરાતી (Gujarati)
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો
Albright LIFE Lancaster: (717) 381-4320 TTY:711
Albright LIFE Lebanon: (717) 376-1133 TTY: 711
Albright LIFE Lycoming: (570) 322-5433 TTY: 711
Albright LIFE Chester: (484) 378-1215 TTY: 711
Albright LIFE Franklin: (717) 264-5433 TTY: 711
Albright LIFE Cumberland: (717) 728-5433 TTY: 711

QUICK LINKS AND RESOURCES

HIPAA Notice of Privacy Practices

Participant Rights

Enrollment and Disenrollment

Grievance & Appeal Information

CMS Appointment of Representative

Language Assistance and Non-Discrimination Notice