XXXXXXX | XXXXXXXXXXXX Living Healthy A newsletter for the members of Central California Alliance for Health March 2023 | VOLUME 29, ISSUE 1 Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 Central California Alliance for Health 1600 Green Hills Road, Suite 101 Scotts Valley, CA 95066 Adverse childhood experiences (ACEs) are traumatic events that happen when someone is a child or teen. ACEs can happen to anyone, and most adults have experienced at least one. Toxic stress is something that overwhelms you and can leave you feeling powerless and hopeless. This is different from everyday stress. Toxic stress can affect the way a child’s body and mind grows. This can lead to health problems later in life, such as asthma, diabetes and heart disease. Toxic stress can also affect development, behavior, learning and mental health. Adverse childhood experiences (ACEs) and toxic stress At your next doctor visit, the doctor may ask if you or your child has experienced any of the events or stressors listed below: ■ Abuse (physical, emotional, sexual). ■ Neglect (physical, emotional). ■ Household instability (mental illness, incarcerated relative, substance abuse, divorce, sudden loss of a loved one). ■ Violence, bullying. It may be difficult to answer if you or your child has experienced ACEs or toxic stress. Answering “yes” is enough. Having open communication with your doctor is important. It helps your doctor to know if there are other services you and your child need to be healthy.
Living Healthy We care about your health! That’s why our health education programs give members the tools they need to get healthy and stay healthy! There is no cost for Alliance members to participate. We offer programs for managing chronic conditions, including: Diabetes and Prediabetes Programs—for members managing diabetes or prediabetes. Healthy Breathing for Life—for members managing asthma. Healthier Living Program—for members living with chronic conditions like diabetes, high blood pressure or depression. The program is offered in three different ways: ■ Over the phone. ■ Virtually with online meetings. ■ In person. Members who complete all six classes can receive a $50 Target gift card. The Alliance also offers programs to help you and your family stay healthy, including: Wellness that Works (formerly Weight Watchers)—helps members 18 years and older with weight management. HealthyMoms andHealthy Babies— for pregnant members and members who recently had a baby. We have information on health for moms and babies, breastfeeding support, pediatric care and parenting. We can also give referrals to local resources. ■ Members who see their doctor within the first 13 weeks of being pregnant are entered into a raffle for a chance to win a $50 Target gift card. ■ Members who see their doctor 1 to 12 weeks after having a baby will receive a $25 Target gift card. Healthy Weight for Life—for parents with children between the ages of 2 to 18. This program helps children reach a healthy weight and make healthier lifestyle changes. There are two different ways to attend: ■ Virtually with online meetings. ■ In person. Members who complete all 10 classes can receive a $100 Target gift card. Members can also be entered in a raffle to win a bike. Tobacco Cessation Support—tools to help members quit smoking or using tobacco products. If you would like to sign up for a program or have questions, call the Alliance Health Education Line at 800-700-3874, ext. 5580. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language. For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 711). Benefit spotlight Did you know about our health education programs? 2
Living Healthy Language Assistance Services To help members communicate better with their doctors and with us, the Alliance provides both telephonic and face-toface interpreting services. We also provide translation and alternative formats of written member information and health education materials—all at no cost to you. Members can ask for: ■ A trained American Sign Language (ASL) interpreter. ■ A trained foreign language interpreter. ■ Alliance-written information in braille, large print, audio CD or data CD format. ■ Alliance-written information in a language they can understand. If you need to reach the Alliance’s Language Assistance Services or have questions, please call Member Services at 800-700-3874. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language. For the Hearing or Speech Assistance Line, call 800735‑2929 (TTY: Dial 711). Your voice matters! The Alliance has a yearly member satisfaction survey called the Consumer Assessment of Healthcare Providers and Systems (CAHPS). This survey is a way for you to tell us what you think about the care and service you receive. Your responses help us improve the services and programs we offer you. The CAHPS survey asks members how happy they are with their doctors, care and health plan. This survey goes out to members who are chosen at random. If you receive a survey in the mail or by phone, we urge you to complete and return it! Member satisfaction is a key aspect of continued improvement. Thank you for helping us continue to improve the quality of your health care! 3
Living Healthy With Dr. Gordon Arakawa In the United States, colorectal cancer is the third most common cancer found in men and women. Colorectal cancer happens when cells in the colon or rectum grow out of control. March is Colorectal Cancer Awareness Month, and it’s a good time to get a screening. Here are a few things you need to know. What is a colorectal cancer screening? Why is it important? A colorectal cancer screening is when your doctor checks to see if you have any precancerous polyps (small clumps of cells) or signs of colorectal cancer. The screening is used to check for disease even if you don’t have any symptoms. It is important to check for cancer through regular screenings, because early treatment works best to help prevent serious health issues. Am I at risk for colorectal cancer? Colorectal cancer is most commonly found in adults ages 65 to 74. However, there has been an increase in colorectal cancer in adults 40 to 49 years old. You might be more likely to develop colorectal cancer if: ■ You have inflammatory bowel disease. ■ Someone in your family has had colorectal cancer or polyps. There are other parts of your lifestyle that can affect your risk level for colorectal cancer, including diet, exercise, and use of alcohol and tobacco products. Ask the doctor Colorectal cancer screenings It is important to check for cancer through regular screenings, because early treatment works best to help prevent serious health issues. Dr. Arakawa is a Medical Director at Central California Alliance for Health, serving the Modesto-Merced areas. 4
Living Healthy Community C O R N E R How to get healthy food for your family Do you know how to get fresh, healthy food for you and your family? Below are some resources to help individuals and families with food support. Local food bank: Anyone can access food at your local food bank. Merced County Merced County Food Bank 209-726-3663 Monterey County Food Bank for Monterey County 831-758-1523 Santa Cruz County Second Harvest Food Bank Santa Cruz County Community Food Hotline 831-662-0991 Monday through Friday, 8 a.m. to 4 p.m. CalFresh program: CalFresh is California’s food stamps (SNAP) program. If you qualify for Medi-Cal coverage, you may also qualify for CalFresh benefits. You can apply for CalFresh benefits online at www.getcalfresh.org or by calling your county’s CalFresh Office: Merced County 209-385-3000 Monterey County 877-410-8823 Santa Cruz County 888-421-8080 Local farmers markets: A fun activity your family can do is visit your local farmers market. You can look up local farmers markets that accept CalFresh online at www.ecologycenter.org/fmfinder. When should I get screened for colorectal cancer? How often should I get screened? If you are 45 to 75 years old, you should be screened once a year for colorectal cancer. How do I set up a screening? Talk to your doctor. They can help you understand which kind of screening will be best for you. Does the Alliance cover colorectal cancer screening? Yes. You can be screened for colorectal cancer at no cost to you. What should I do if I have questions? Contact your doctor’s office if you have questions about colorectal cancer screening. 5
Living Healthy Prescription drugs If you are a Medi-Cal member, your prescriptions that are filled at a pharmacy are covered by Medi-Cal Rx, not the Alliance. You can view prescription drugs that are covered by MediCal Rx at www.medi -calrx.dhcs.ca.gov, or you can request a printed copy by calling 800-977-2273 (TTY: Dial 711), 24 hours a day, 7 days a week. If you are an IHSS member, pharmacy services are managed by MedImpact. You can view covered prescription drugs on the Alliance website at www.thealliance .health/prescriptions. You can also request a copy by calling Member Services at 800-700-3874 (TTY: Dial 711), Monday through Friday, 8 a.m. to 5:30 p.m. You may also call Member Services if you have questions about a medication. GETTING AN APPOINTMENT: How long should you have to wait? As a member of the Alliance, it is your right to have timely access to network providers, but sometimes it is not possible for a doctor to see you right away. Some appointments might take longer to schedule than others. We work with the doctors and clinics in our network to make sure you can get care when you need it. Health plans in California have to meet certain standards for access to care. The regulations to put this law into place are called the Timely Access to Non-emergency Health Care Services standards. The chart below lists the standards for different types of appointments. The waiting times for an appointment may be longer if the provider feels that it will not harm your health. If they feel a longer wait time would not be harmful to your health, they must note it in your medical record. If you feel you are not getting care when you need it, call Member Services at 800-700-3874 (TTY: 800-735-2929 or 711). Appointment type You should be able to get an appointment within: Urgent care appointments that do not require preapproval (prior authorization) 48 hours Urgent care appointments that do require pre-approval (prior authorization) 96 hours Non-urgent (routine) primary care appointments 10 business days Non-urgent (routine) specialist care appointments 15 business days Non-urgent (routine) mental health provider (non-doctor) care appointments 10 business days Non-urgent (routine) appointments for ancillary (supporting) services for the diagnosis or treatment of injury, illness or another health condition 15 business days Other wait time standards You should be able to get connected within: Member services telephone wait times during normal business hours 10 minutes Telephone wait times for Nurse Advice Line 30 minutes (connected to nurse) 6
Living Healthy Don’t wait until you are sick to see the doctor! It’s important to regularly see your doctor to check your health. This is called preventive care. Preventive care visits will keep you on track with your health and can help detect any health issues early. Preventive care visits also give you the chance to get to know your doctor. Your doctor will help you manage your care and stay healthy! These visits also help your doctor get familiar with you, your health history and health needs. Getting to know your doctor can help you feel more comfortable asking questions, voicing your concerns and making informed choices about your health care. What happens at a preventive care visit? Your doctor will give you services based on your current health status and needs. These may include: ■ Health education and counseling. ■ Tests and screenings. ■ Treatments. ■ Vaccines and prescriptions. How often do I need a preventive care visit? It’s good to have a check-up with the doctor once a year. Your doctor will let you know if you need to come in more often. How do I make a preventive care appointment? Schedule an appointment by calling your primary care doctor, also called your PCP. Your PCP’s name, address and phone number are listed on the front of your Alliance Member ID card. If you have not chosen your PCP yet, you can learn what steps to take on our website at www.thealliance. health/findadoctor. Or you can call Member Services for help. How can I get ready for a visit with my doctor? The tips below will help you feel prepared and confident for your doctor visit: ■ Think of any health care concerns or questions you want to ask your doctor. ■ Bring a list of all the medications you are taking. ■ If you do not have transportation to your appointment, the Alliance can help. Call Member Services at 800-700-3874 (TTY: Dial 800-735-2929 or 711). Keep your health on track with preventive care visits! Wellness for all 7
Living Healthy Follow us on Facebook! Find us at www.facebook.com/TheAllianceForHealth. Stay up-to-date with: ■ Tips and services for Medi-Cal members. ■ Local community information. ■ COVID-19 updates. LIVING HEALTHY is published for the members and community partners of CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, 1600 Green Hills Road, Suite 101, Scotts Valley, CA 95066, telephone 831-430-5500 or 800-700-3874, ext. 5505, website www.thealliance.health. Information in LIVING HEALTHY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. 2023 © Coffey Communications, Inc. All rights reserved. Communications Project Specialist Randi Motson Quality and Health Programs Supervisors Desirre Herrera and Mao Moua www.thealliance.health Have you moved? Did you have Medi-Cal coverage during the pandemic? If so, you will need to update the Medi-Cal office in your county with any changes to your information. Here is what you need to know: Your county may check to see if you can renew your Medi-Cal coverage. Don’t wait for your county to contact you. If there have been any changes to your circumstances or contact information, your local office in Merced, Monterey or Santa Cruz County needs to know. You can report changes to the county by phone, mail, online or in person. Report any of the following changes: ■ Changes to your income. ■ Disability status. ■ Phone number. ■ Mailing address. ■ If someone in your household becomes pregnant. ■ If someone moves into your home. ■ Anything else that may affect your Medi-Cal eligibility. Here is the office to contact for each county. Make sure your county has your current information: Merced County Department of Human Services Phone: 855-421-6770 Monterey County Department of Social Services Phone: 877-410-8823 Santa Cruz County Human Services Department Phone: 888-421-8080 You can also update your contact information online at www.CoveredCA.com or www.BenefitsCal.com. For more information, visit www.thealliance.health/ updatemedical. Update your Medi-Cal!
Living Healthy Discrimination is against the law. Central California Alliance for Health (the Alliance) follows State and Federal civil rights laws. The Alliance does not unlawfully discriminate, exclude people, or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation. The Alliance 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 the Alliance between 8 a.m. and 5:30 p.m., Monday through Friday, by calling 800-700-3874. If you cannot hear or speak well, please call 800-735-2929 (TTY: Dial 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, please call or write to: Central California Alliance for Health 1600 Green Hills Road, Suite 101 Scotts Valley, CA 95066 800-700-3874 800-735-2929 (TTY: Dial 711) HOWTO FILE A GRIEVANCE If you believe that the Alliance has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can file a grievance with the Alliance’s Civil Rights Coordinator, also known as the Senior Grievance Specialist. You can file a grievance by phone, in writing, in person, or electronically: ■ By phone: Contact the Alliance’s Senior Grievance Specialist between 8 a.m. and 5:30 p.m., Monday through Friday, by calling 800-700-3874. Or, if you cannot hear or speak well, please call 800-735-2929 (TTY: Dial 711). ■ In writing: Fill out a complaint form or write a letter and send it to: Central California Alliance for Health Attn: Senior Grievance Specialist 1600 Green Hills Road, Suite 101 Scotts Valley, CA 95066 ■ In person: Visit your doctor’s office or the Alliance and say you want to file a grievance. ■ Electronically: Visit the Alliance’s website at www.thealliance.health. OFFICE OF CIVIL RIGHTS – CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically: ■ By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711 (Telecommunications Relay Service). ■ In writing: 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 www.dhcs.ca.gov/Pages/Language_Access.aspx. ■ Electronically: Send an email to CivilRights@dhcs.ca.gov. Nondiscrimination Notice This newsletter is also available in large print and audio formats at www.thealliance.health/otherformats.
Living Healthy OFFICE OF CIVIL RIGHTS – U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 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 800-368-1019. If you cannot speak or hear well, please call TTY/TDD 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 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. Taglines English Tagline ATTENTION: If you need help in your language call 1-800-700-3874 (TTY: 1-800-735-2929). Aids and services for people with disabilities, like documents in braille and large print, are also available. Call 1-800-700-3874 (TTY: 1-800-735-2929). These services are free of charge. اﻟﺸﻌﺎر ﺔ ��� بﺎﻟﻌ (Arabic) � � ﻳُﺮ اﻻﻧتبﺎە : إذا اﺣﺘﺠﺖ � إ اﻟﻤﺴﺎﻋﺪة بﻠﻐﺘﻚ، ﻓﺎﺗﺼﻞ بـ 1-800-700-3874 (TTY: 1-800-735-2929) . ﺗﺘﻮﻓﺮ ﺎ � ﻀ � أ اﻟﻤﺴﺎﻋﺪات واﻟﺨﺪﻣﺎت ﻟﻸﺷﺨﺎص ذوي اﻹﻋﺎﻗﺔ، ﻣﺜﻞ اﻟﻤﺴتﻨﺪات ﺔ �� اﻟﻤﻜﺘ ﻘﺔ �� بﻄ ﻞ �� ﺑ واﻟﺨﻂ ي . � ﺒ � اﻟ اﺗﺼﻞ بـ 1-800-7003874 (TTY: 1-800-735-2929) . ﻫﺬە اﻟﺨﺪﻣﺎت ﺔ. � ﻣﺠﺎﻧ Հայերեն պիտակ (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ: Եթե Ձեզ օգնություն է հարկավոր Ձեր լեզվով, զանգահարեք 1-800700-3874 (TTY: 1-800-735-2929)։ Կան նաև օժանդակ միջոցներ ու ծառայություններ հաշմանդամություն ունեցող անձանց համար, օրինակ` Բրայլի գրատիպով ու խոշորատառ տպագրված նյութեր։ Զանգահարեք 1-800-700-3874 (TTY: 1-800-735-2929)։ Այդ ծառայություններն անվճար են։ �� ស�� ល់���ែខ� រ (Cambodian) ចំ�ំ៖ េបើ អ� ក ្រត�វ �រជំនួយ ��� របស់អ� ក សូម ទូរស័ព� េ�េលខ 1-800-700-3874 (TTY: 1800-735-2929)។ ជំនួយ និង េស�កម� ស្រ�ប់ ជនពិ�រ ដូច�ឯក�រសរេសរ�អក្សរផុស ស្រ�ប់ជនពិ�រែភ� ក ឯក�រសរេសរ�អក្សរពុម� ធំ ក៏�ចរក�នផងែដរ។ ទូរស័ព� មកេលខ 1-800700-3874 (TTY: 1-800-735-2929)។ េស�កម� �ំងេនះមិនគិតៃថ� េឡើ យ។ 简体中文标语 (Chinese) 请注意：如果您需要以您的母语提供帮助，请致电 1-800-700-3874 (TTY: 1-800-735-2929)。 另外还提供针对残疾人士的帮助和服务，例如文盲和需要较大字体阅读，也是方便取用的。请 致电 1-800-700-3874 (TTY: 1-800-735-2929)。这些服务都是免费的。 (Farsi) ﻓﺎرﺳﯽ زﺑﺎن ﺑﮫ ﻣطﻠب ﺗوﺟﮫ: اﮔر ﻣﯽ ﺧواھﯾد ﺑﮫ زﺑﺎن ﺧود ﮐﻣﮏ درﯾﺎﻓت ﮐﻧﯾد، ﺑﺎ 1-800-700-3874 (TTY: 1-800-735-2929) ﺗﻣﺎس ﺑﮕﯾرﯾد. ﮐﻣﮏ ھﺎ و ﺧدﻣﺎت ﻣﺧﺻوص اﻓراد دارای ﻣﻌﻠوﻟﯾت، ﻣﺎﻧﻧد ﻧﺳﺧﮫ ھﺎی ﺧط ﺑرﯾل و ﭼﺎپ ﺑﺎ ﺣروف ﺑزرگ، ﻧﯾز ﻣوﺟود اﺳت. ﺑﺎ 1- 800-735-3874 (TTY: 1-800-735-2929) ﺗﻣﺎس ﺑﮕﯾرﯾد. اﯾن ﺧدﻣﺎت راﯾﮕﺎن اراﺋﮫ ﻣﯽ ﺷوﻧد.
Living Healthy Taglines 简体中文标语 (Chinese) 请注意：如果您需要以您的母语提供帮助，请致电 1-800-700-3874 (TTY: 1-800-735-2929)。 另外还提供针对残疾人士的帮助和服务，例如文盲和需要较大字体阅读，也是方便取用的。请 致电 1-800-700-3874 (TTY: 1-800-735-2929)。这些服务都是免费的。 (Farsi) ﻓﺎرﺳﯽ زﺑﺎن ﺑﮫ ﻣطﻠب ﺗوﺟﮫ: اﮔر ﻣﯽ ﺧواھﯾد ﺑﮫ زﺑﺎن ﺧود ﮐﻣﮏ درﯾﺎﻓت ﮐﻧﯾد، ﺑﺎ 1-800-700-3874 (TTY: 1-800-735-2929) ﺗﻣﺎس ﺑﮕﯾرﯾد. ﮐﻣﮏ ھﺎ و ﺧدﻣﺎت ﻣﺧﺻوص اﻓراد دارای ﻣﻌﻠوﻟﯾت، ﻣﺎﻧﻧد ﻧﺳﺧﮫ ھﺎی ﺧط ﺑرﯾل و ﭼﺎپ ﺑﺎ ﺣروف ﺑزرگ، ﻧﯾز ﻣوﺟود اﺳت. ﺑﺎ 1- 800-735-3874 (TTY: 1-800-735-2929) ﺗﻣﺎس ﺑﮕﯾرﯾد. اﯾن ﺧدﻣﺎت راﯾﮕﺎن اراﺋﮫ ﻣﯽ ﺷوﻧد. िहंदी टैगलाइन (Hindi) �ान द� : अगर आपको अपनी भाषा म� सहायता की आव�कता है तो 1-800-700-3874 (TTY: 1-800-7352929) पर कॉल कर� । अश�ता वाले लोगों के िलए सहायता और सेवाएं, जैसे ब्रेल और बड़े िप्रंट म� भी द�ावेज़ उपल� ह� । 1-800-700-3874 (TTY: 1-800-735-2929) पर कॉल कर� । ये सेवाएं िन: शु� ह� । Nqe Lus Hmoob Cob (Hmong) CEEB TOOM: Yog koj xav tau kev pab txhais koj hom lus hu rau 1-800-700-3874 (TTY: 1800-735-2929). Muaj cov kev pab txhawb thiab kev pab cuam rau cov neeg xiam oob qhab, xws li puav leej muaj ua cov ntawv su thiab luam tawm ua tus ntawv loj. Hu rau 1-800-7003874 (TTY: 1-800-735-2929). Cov kev pab cuam no yog pab dawb xwb. 请注意：如果您需要以您的母语提供帮助，请致电 1-800-700-3874 (TTY: 1-800-735-2929)。 另外还提供针对残疾人士 帮助和服务，例如文盲和需要较大字体阅读，也是方便取用的。请 致电 1-800-700-3874 (TTY: 1-800-735-2929)。这些服务都是免费的。 (Farsi) ﻓﺎرﺳﯽ زﺑﺎن ﺑﮫ ﻣطﻠب ﺗوﺟﮫ: اﮔر ﻣﯽ ﺧواھﯾد ﺑﮫ زﺑﺎن ﺧود ﮐﻣﮏ درﯾﺎﻓت ﮐﻧﯾد، ﺑﺎ 1-800-700-3874 (TTY: 1-800-735-2929) ﺗﻣﺎس ﺑﮕﯾرﯾد. ﮐﻣﮏ ھﺎ و ﺧدﻣﺎت ﻣﺧﺻوص اﻓراد دارای ﻣﻌﻠوﻟﯾت، ﻣﺎﻧﻧد ﻧﺳﺧﮫ ھﺎی ﺧط ﺑرﯾل و ﭼﺎپ ﺑﺎ ﺣروف ﺑزرگ، ﻧﯾز ﻣوﺟود اﺳت. ﺑﺎ 1- 800-735-3874 (TTY: 1-800-735-2929) ﺗﻣﺎس ﺑﮕﯾرﯾد. اﯾن ﺧدﻣﺎت راﯾﮕﺎن اراﺋﮫ ﻣﯽ ﺷوﻧد. िहंदी टैगलाइन (Hindi) �ान द� : अगर आपको अपनी भाषा म� सहायता की आव�कता है तो 1-800-700-3874 (TTY: 1-800-7352929) पर कॉल कर� । अश�ता वाले लोगों के िलए सहायता और सेवाएं, जैसे ब्रेल और बड़े िप्रंट म� भी द�ावेज़ उपल� ह� । 1-800-700-3874 (TTY: 1-800-735-2929) पर कॉल कर� । ये सेवाएं िन: शु� ह� । Nqe Lus Hmoob Cob (Hmong) CEEB TOOM: Yog koj xav tau kev pab txhais koj hom lus hu rau 1-800-700-3874 (TTY: 1800-735-2929). Muaj cov kev pab txhawb thiab kev pab cuam rau cov neeg xiam oob qhab, xws li puav leej muaj ua cov ntawv su thiab luam tawm ua tus ntawv loj. Hu rau 1-800-7003874 (TTY: 1-800-735-2929). Cov kev pab cuam no yog pab dawb xwb. 日本語表記(Japanese) 注意日本語での対応が必要な場合は 1-800-700-3874 (TTY: 1-800-735-2929)へお電話くださ い。点字の資料や文字の拡大表示など、障がいをお持ちの方のためのサービスも用意してい ます。 1-800-700-3874 (TTY: 1-800-735-2929)へお電話ください。これらのサービスは無料 で提供しています。 한국어 태그라인 (Korean) 유의사항: 귀하의 언어로 도움을 받고 싶으시면 1-800-700-3874 (TTY: 1-800-735-2929) 번으로 문의하십시오. 점자나 큰 활자로 된 문서와 같이 장애가 있는 분들을 위한 도움과 서비스도 이용 가능합니다. 1-800-700-3874 (TTY: 1-800-735-2929) 번으로 문의하십시오. 이러한 서비스는 무료로 제공됩니다. ແທກໄລພາສາລາວ (Laotian) ປະກາດ: ຖ້າທ່ານຕ້ອງການຄວາມຊ່ວຍເຫຼືອໃນພາສາຂອງທ່ານໃຫ້ໂທຫາເບີ 1-800-700-3874 (TTY: 1-800735-2929). ຍັງມີຄວາມຊ່ວຍເຫຼືອແລະການບໍລິການສໍາລັບຄົນພິການ ເຊັ່ນເອກະສານທີ່ເປັນອັກສອນນູນແລະມີໂຕພິມໃຫຍ່ ໃຫ້ໂທຫາເບີ 1-800-700-3874 (TTY: 1-800-7352929). ການບໍລິການເຫຼົ່ານີ້ບໍ່ຕ້ອງເສຍຄ່າໃຊ້ຈ່າຍໃດໆ. Mien Tagline (Mien) LONGC HNYOUV JANGX LONGX OC: Beiv taux meih qiemx longc mienh tengx faan benx meih nyei waac nor douc waac daaih lorx taux 1-800-700-3874 (TTY: 1-800-735-2929). Liouh lorx jauv-louc tengx aengx caux nzie gong bun taux ninh mbuo wuaaic fangx mienh, beiv taux longc benx nzangc-pokc bun hluo mbiutc aengx caux aamz mborqv benx domh sou se mbenc nzoih bun longc. Douc waac daaih lorx 1-800-700-3874 (TTY: 1-800-735-2929). Naaiv deix nzie weih gong-bou jauv-louc se benx wang-henh tengx mv zuqc cuotv nyaanh oc. ਪੰਜਾਬੀ ਟੈਗਲਾਈਨ (Punjabi) ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਹਾਨੂੰ ਆਪਣੀ ਭਾਸ਼ਾ ਿਵੱਚ ਮਦਦ ਦੀ ਲੋੜ ਹੈ ਤਾਂ ਕਾਲ ਕਰੋ 1-800-700-3874 (TTY: 1-800-7352929). ਅਪਾਹਜ ਲੋਕਾਂ ਲਈ ਸਹਾਇਤਾ ਅਤੇ ਸੇਵਾਵਾਂ, ਿਜਵ� ਿਕ ਬ�ੇ ਲ ਅਤੇ ਮੋਟੀ ਛਪਾਈ ਿਵੱਚ ਦਸਤਾਵੇਜ਼, ਵੀ ਉਪਲਬਧ ਹਨ| ਕਾਲ ਕਰੋ 1-800-700-3874 (TTY: 1-800-735-2929). ਇਹ ਸੇਵਾਵਾਂ ਮੁਫਤ ਹਨ|
Living Healthy Taglines lorx jauv-louc tengx aengx caux nzie gong bun taux ninh mbuo wuaaic fangx mienh, beiv taux longc benx nzangc-pokc bun hluo mbiutc aengx caux aamz mborqv benx domh sou se mbenc nzoih bun longc. Douc waac daaih lorx 1-800-700-3874 (TTY: 1-800-735-2929). Naaiv deix nzie weih gong-bou jauv-louc se benx wang-henh tengx mv zuqc cuotv nyaanh oc. ਪੰਜਾਬੀ ਟੈਗਲਾਈਨ (Punjabi) ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਹਾਨੂੰ ਆਪਣੀ ਭਾਸ਼ਾ ਿਵੱਚ ਮਦਦ ਦੀ ਲੋੜ ਹੈ ਤਾਂ ਕਾਲ ਕਰੋ 1-800-700-3874 (TTY: 1-800-7352929). ਅਪਾਹਜ ਲੋਕਾਂ ਲਈ ਸਹਾਇਤਾ ਅਤੇ ਸੇਵਾਵਾਂ, ਿਜਵ� ਿਕ ਬ�ੇ ਲ ਅਤੇ ਮੋਟੀ ਛਪਾਈ ਿਵੱਚ ਦਸਤਾਵੇਜ਼, ਵੀ ਉਪਲਬਧ ਹਨ| ਕਾਲ ਕਰੋ 1-800-700-3874 (TTY: 1-800-735-2929). ਇਹ ਸੇਵਾਵਾਂ ਮੁਫਤ ਹਨ| Русский слоган (Russian) ВНИМАНИЕ! Если вам нужна помощь на вашем родном языке, звоните по номеру 1800-700-3874 (линия TTY: 1-800-735-2929). Также предоставляются средства и услуги для людей с ограниченными возможностями, например документы крупным шрифтом или шрифтом Брайля. Звоните по номеру 1-800-700-3874 (линия TTY: 1-800-735-2929). Такие услуги предоставляются бесплатно. Mensaje en español (Spanish) ATENCIÓN: si necesita ayuda en su idioma, llame al 1-800-700-3874 (TTY: 1-800-855-3000). También ofrecemos asistencia y servicios para personas con discapacidades, como documentos en braille y con letras grandes. Llame al 1-800-700-3874 (TTY: 1-800-855-3000). Estos servicios son gratuitos. Tagalog Tagline (Tagalog) ATENSIYON: Kung kailangan mo ng tulong sa iyong wika, tumawag sa 1-800-700-3874 (TTY: 1-800-735-2929). Mayroon ding mga tulong at serbisyo para sa mga taong may kapansanan,tulad ng mga dokumento sa braille at malaking print. Tumawag sa 1-800-7003874 (TTY: 1-800-735-2929). Libre ang mga serbisyong ito. แท็กไลน์ภาษาไทย (Thai) โปรดทราบ: หากคุณต้องการความช่วยเหลือเป็นภาษาของคุณ กรุณาโทรศัพท์ไปที่หมายเลข 1-800700-3874 (TTY: 1-800-735-2929) นอกจากนี้ ยังพร้อมให้ความช่วยเหลือและบริการต่าง ๆ สําหรับบุคคลที่มีความพิการ เช่น เอกสารต่าง ๆ ที่เป็นอักษรเบรลล์และเอกสารที่พิมพ์ด้วยตัวอักษรขนาดใหญ่ กรุณาโทรศัพท์ไปที่หมายเลข 1-800-7003874 (TTY: 1-800-735-2929) ไม่มีค่าใช้จ่ายสําหรับบริการเหล่านี้ Примітка українською (Ukrainian) УВАГА! Якщо вам потрібна допомога вашою рідною мовою, телефонуйте на номер 1800-700-3874 (TTY: 1-800-735-2929). Люди з обмеженими можливостями також можуть скористатися допоміжними засобами та послугами, наприклад, отримати документи, надруковані шрифтом Брайля та великим шрифтом. Телефонуйте на номер 1-800-7003874 (TTY: 1-800-735-2929). Ці послуги безкоштовні. Khẩu hiệu tiếng Việt (Vietnamese) CHÚ Ý: Nếu quý vị cần trợ giúp bằng ngôn ngữ của mình, vui lòng gọi số 1-800-700-3874 (TTY: 1-800-735-2929). Chúng tôi cũng hỗ trợ và cung cấp các dịch vụ dành cho người khuyết tật, như tài liệu bằng chữ nổi Braille và chữ khổ lớn (chữ hoa). Vui lòng gọi số 1-800700-3874 (TTY: 1-800-735-2929). Các dịch vụ này đều miễn phí.
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