Notice of Nondiscrimination

At Martin's Point, we are proud to provide equal care for all.

Martin’s Point Health Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Martin’s Point Health Care does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Martin’s Point Health Care:

• 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)

• Provides 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 Martin's Point Generations Advantage Grievance Department.

If you believe that Martin’s Point Health Care 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:

Grievance Department
Martin’s Point Generations Advantage
PO Box 9746
Portland, ME 04104-8832

Phone: 1-866-544-7504, TTY: 711
Fax: 207-828-7874

You can file a grievance in person, by mail, or by fax. If you need help filing a grievance, the Martin’s Point Generations Advantage Grievance Specialist is available to help you.

Medicare Plan Complaints (Coverage, Service, Drug Plan, or Plan Experience)
If your complaint is about your Medicare health plan or drug plan—for example, service issues, coverage concerns, or delays—you may file a complaint directly with Medicare using the official Medicare Complaint Form:
https://www.medicare.gov/my/medicare-complaint

Civil Rights or Discrimination Complaints
If your complaint is about discrimination or failure to provide required language or disability assistance, you may file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the OCR Complaint Portal 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 (TDD: 1-800-537-7697)

HIPAA Privacy or Security Complaints
If your complaint relates to the privacy or security of your health information, you may file a HIPAA complaint with the Office for Civil Rights. Complaint instructions and forms are available at:
https://www.hhs.gov/hipaa/filing-a-complaint/index.html

If you want someone to act on your behalf
Members who wish to appoint a representative for an appeal, grievance, or request may use the official Medicare Appointment of Representative form:
Medicare Appointment of Representative (AOR) Form [PDF]
This form allows a member to authorize another person to represent them in communications with Medicare or the plan.

Multi-language Interpreter Service [PDF]
This notice explains your rights to free interpreter and language assistance services and includes our required nondiscrimination statement in multiple languages.

For detailed information, visit:

Member Grievances and Appeals