Compliance & Ethics Information
You deserve a Medicare Advantage Plan that you can count on. eternalHealth is committed to making healthcare accessible, affordable, and effective for our members while maintaining Medicare program integrity.
The eternalHealth Compliance Program
eternalHealth has a comprehensive compliance program designed for the prevention, detection and reporting of fraud, waste, and abuse among providers, members, employees, and subcontractors. Any questions, issues or concerns regarding the eternalHealth’s Code of Conduct, Policies & Procedures, or any federal or state laws, regulations, guidelines or other authorities governing our operations can be sent to our Compliance Department email@example.com. The eternalHealth Code of Conduct and Compliance Program Policies & Procedures are available upon request.
Conflict of Interest
eternalHealth directors, officers and employees are responsible for disclosing any transaction or relationship that could reasonably be expected to give rise to a conflict of interest to Human Resources, the Chief Compliance Officer, Chief Executive Officer, or the Board of Directors. eternalHealth determines whether such transaction or relationship constitutes a conflict of interest.
Reporting a Concern to eternalHealth
Compliance concerns can be reported without fear of retribution or retaliation. Reports may be made orally, by telephone, in person, in writing, or by email. Reports may be made anonymously and will be held in the strictest of confidence except as may be necessary to complete an investigation or required enforcement action. eternalHealth investigates all reports and take such remedial and/or disciplinary action deemed appropriate upon completion of an investigation.
eternalHealth’s confidential compliance & ethics hotline is accessible 24/7 by calling 1-833-203-6447 or www.lighthouse-services.com/eternalhealth. The eternalHealth reporting hotline is administered by an independent third-party vendor. All allegations received are thoroughly investigated by eternalHealth.
Report A Compliance Concern to Oversight Agencies
External resources are available for reporting, and include but are not limited to the following:
- Medicare Fraud Hotline
- National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC)
- Arizona Attorney General
- Office of the Attorney General | Mass.gov
- Federal Trade Commission Identity Theft Reporting
- Office for Civil Rights (OCR)
- Office of Inspector General (OIG)
eternalHealth does not tolerate retaliation for reports of possible violations made in good faith, using any of the procedures described. Any reports of such retaliation or retribution will be investigated thoroughly and appropriate discipline will be imposed.