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PPO II - EmblemHealth

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16<br />

2013 Evidence of Coverage for <strong>PPO</strong> <strong>II</strong><br />

Chapter 2: Important phone numbers and resources<br />

How to contact us when you are asking for a coverage decision<br />

about your medical care<br />

A coverage decision is a decision we make about your benefi ts and coverage or about the amount we will<br />

pay for your medical services. For more information on asking for coverage decisions about your medical<br />

care, see Chapter 9 (What to do if you have a problem or complaint (coverage decisions, appeals, complaints)).<br />

You may call us if you have questions about our coverage decision process.<br />

Coverage Decisions for Medical Care<br />

CALL 1-866-557-7300<br />

Calls to this number are free.<br />

Monday – Sunday 8:00 am to 8:00 pm.<br />

TTY 1-866-248-0640<br />

This number requires special telephone equipment and is only for people<br />

who have diffi culties with hearing or speaking.<br />

Calls to this number are free.<br />

FAX 1-866-215-2928<br />

Monday – Sunday 8:00 am to 8:00 pm.<br />

WRITE <strong>EmblemHealth</strong> Medicare <strong>PPO</strong><br />

ATTN: Utilization Management<br />

55 Water Street<br />

New York, NY 10041<br />

WEBSITE www.emblemhealth.com/medicare

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