Prescription Drug (Part D):
Appeals & Grievances
You have the right to file a grievance or submit an appeal and ask us to review your coverage determination.
How to file an Appeal or Grievance
Coverage Determination Form
Coverage Redetermination Form
Rights and Responsibilities upon Disenrollment
You have the right to ask us to reconsider this decision. You can ask us to reconsider by filing a grievance with us. You can look in your “Evidence of Coverage” for information about how to file a grievance, contact us at 1-800-926-6565 (TTY users: 1-800-955-8770) or click here for more information.
Upon request, Medicare Advantage plans are required to disclose grievance and appeals data to Medicare Advantage enrollees in accordance with the regulatory requirements. You can contact us at 1-800-926-6565 (TTY users: 1-800-955-8770) to request this information.