top of page

In this section, you will find the materials and information you need to know and exercise your rights and responsibilities as a member of our plan. These materials are based on Medicare regulations and will help you make informed decisions about your health and coverage.

Appointment of Representative

Enrolling in a plan

Grievances, Organization Determinations, and Appeals

If you have a problem or dissatisfaction with our plan, with one of our providers, or with coverage or payment for a service or drug, you can file a grievance, request an organizational determination, or appeal a decision. Here's what they are and how to do it:

Grievance

Determination of the organization

Appeals

bottom of page