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.
Last updated: 10/01/2011
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.
Appointment of Representative Form Instructions
Learn how to use the Appointment of Representative form to appoint a representative.
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