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File an Appeal

What is an appeal?

An appeal is a formal process that deals with the review of adverse organization determinations on the health care services a member believes he or she is entitled to receive, including delay in providing, arranging for, or approving the health care services.

Medicare Part D Prescription Benefits: File a Redetermination/Appeal
Medicare Part C Benefits: File an Appeal
Download Medicare Prescription Drug Determination Request Form
Appoint a Representative
Medicare Part D Benefits: File an Appeal