PPO II - EmblemHealth
PPO II - EmblemHealth
PPO II - EmblemHealth
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18<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 making a complaint about your medical care<br />
You can make a complaint about us or one of our network providers, including a complaint about the<br />
quality of your care. Th is type of complaint does not involve coverage or payment disputes. (If you have<br />
a problem about the plan’s coverage or payment, you should look at the section above about making an<br />
appeal.) For more information on making a complaint about your medical care, see Chapter 9 (What to<br />
do if you have a problem or complaint (coverage decisions, appeals, complaints)).<br />
Complaints about Medical Care<br />
CALL 1-866-557-7300<br />
Calls to this number are free.<br />
TTY 1-866-248-0640<br />
Monday – Sunday 8:00 am to 8:00 pm<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 1-212-510-5320<br />
Monday - Sunday 8:00 am to 8:00 pm<br />
WRITE <strong>EmblemHealth</strong> Medicare <strong>PPO</strong><br />
ATTN: Grievance and Appeals<br />
PO Box 2807<br />
New York, NY 10116-2807<br />
MEDICARE<br />
WEBSITE<br />
You can submit a complaint about our plan directly to Medicare.<br />
To submit an online complaint to Medicare go to<br />
www.medicare.gov/MedicareComplaintForm/home.aspx.
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