Determinations, Grievances & Appeals

This section will give you an overview of the steps to take if you need to express a concern about medical care or prescription drug coverage.

Medical Care & Services

This section describes your rights to request coverage of medical care or services or payment for medical services that you already have received. You also may make a complaint about your medical benefits and coverage.

Prescription Drug Coverage

This section describes your rights to request coverage of a Part D prescription drug or payment for a Part D prescription drug that you have purchased. You also may make a complaint about your prescription drug benefits and coverage.

Request for Medicare Prescription Drug Determination Form

Appointment of Representative Form

Appointment of Representative Form Instructions

Learn how to use the Appointment of Representative form to appoint a representative.