Grievances and appeals

• You must continue to use network pharmacies until you are disenrolled from our plan to receive prescription drug coverage under our formulary.
• You have the right to make a complaint if we ask you to leave our plan.

• You may only disenroll or switch prescription drug plans under certain circumstances.

To obtain information on the aggregate number of grievances, appeals and exceptions filed with the plan contact Customer Service.

You can submit feedback about your Medicare health plan or prescription drug plan directly to Medicare. The Centers for Medicare & Medicaid Services values your feedback and will use it to continue to improve the quality of the Medicare program.

You can submit a marketing complaint to us by calling the phone number on the back of your member ID card or by calling 1-800-MEDICARE (1-800-633-4227). TTY/TDD users can call 1-877-486-2048, 24 hours a day/7 days a week. Please reference your agent’s name if applicable.

Find forms that will aid you in the coverage decision, grievance or appeal process. Click on your plan, then choose the Grievances & appeals category on the forms and documents page.

Get grievances & appeals forms from our Forms & documents page.