Medicare Advantage

There are four ways to file an appeal or grievance: online, by fax, by mail, or by phone. If you disagree with a decision on your plan’s coverage or payment, you can file an appeal. We’ll review the appeal and make a ruling on the decision. If you have a complaint or are dissatisfied with service, you can file a grievance with the health plan, provider or facility.

For More Information

You can also submit feedback about your Medicare Advantage plan by completing a Medicare Complaint Form . Find more information about Medicare appeals or call 1-800-MEDICARE ( 1-800-633-4227) or 711 (for TTY users) 24 hours a day, 7 days a week. Say “publications” for a free copy of your Medicare rights and protections.

For Part D coverage redetermination (appeals), a standard appeal decision is issued within seven (7) calendar days after receiving the request. Learn more about Part D Coverage Determinations.

  • How to File An Appeal or Grievance

  • When to File an Appeal

  • When to File a Grievance

  • Who Can File an Appeal or Grievance?

  • Expedited Appeals & Grievances

  • Appeal & Grievance Decisions

  • How to Obtain an Aggregate Number of Grievances, Appeals and Exceptions Filed with the Plan