16.12.2012 Views

PPO II - EmblemHealth

PPO II - EmblemHealth

PPO II - EmblemHealth

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

20<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 an appeal about<br />

your Part D prescription drugs<br />

An appeal is a formal way of asking us to review and change a coverage decision we have made. For more<br />

information on making an appeal about your Part D prescription drugs, see Chapter 9 (What to do if you<br />

have a problem or complaint (coverage decisions, appeals, complaints)).<br />

Appeals for Part D Prescription Drugs<br />

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

Calls to this number are free.<br />

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

For expedited appeals: 1-888-906-7668<br />

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

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

diffi culties with hearing or speaking.<br />

Calls to this number are free.<br />

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

For expedited appeals: 1-866-248-0640<br />

FAX 1-212-510-5320<br />

For expedited appeals: 1-212-287-2754<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 />

WEBSITE www.emblemhealth.com/medicare

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!