PPO II - EmblemHealth

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2013 Evidence of Coverage for PPO II) II Chapter 2: Important phone numbers and resources How to contact us when you are making a complaint about your Part D prescription drugs You can make a complaint about us or one of our network pharmacies, including a complaint about the quality of your care. Th is type of complaint does not involve coverage or payment disputes. (If your problem is about the plan’s coverage or payment, you should look at the section above about making an appeal.) For more information on making a complaint about your Part D prescription drugs, see Chapter 9 (What to do if you have a problem or complaint (coverage decisions, appeals, complaints)). Complaints about Part D prescription drugs CALL 1-866-557-7300 Calls to this number are free. Monday – Sunday 8:00 am to 8:00 pm TTY 1-866-248-0640 This number requires special telephone equipment and is only for people who have diffi culties with hearing or speaking. Calls to this number are free. FAX 1-212-510-5320 Monday – Sunday 8:00 am to 8:00 pm WRITE EmblemHealth Medicare PPO ATTN: Grievance and Appeals PO Box 2807 New York, NY 10116-2807 MEDICARE WEBSITE You can submit a complaint about our plan directly to Medicare. To submit an online complaint to Medicare go to www.medicare.gov/MedicareComplaintForm/home.aspx. 21
22 2013 Evidence of Coverage for PPO II Chapter 2: Important phone numbers and resources Where to send a request asking us to pay for our share of the cost for medical care or a drug you have received For more information on situations in which you may need to ask us for reimbursement or to pay a bill you have received from a provider, see Chapter 7 (Asking us to pay our share of a bill you have received for covered medical services or drugs). Please note: If you send us a payment request and we deny any part of your request, you can appeal our decision. See Chapter 9 (What to do if you have a problem or complaint (coverage decisions, appeals, complaints)) for more information. Payment Requests CALL 1-866-557-7300 Calls to this number are free. TTY 1-866-248-0640 Monday – Sunday 8:00 am to 8:00 pm This number requires special telephone equipment and is only for people who have diffi culties with hearing or speaking. Calls to this number are free. FAX 1-212-510-5320 Monday – Sunday 8:00 am to 8:00 pm WRITE EmblemHealth Medicare PPO PO Box 2807 New York, NY 10116-2807 WEBSITE www.emblemhealth.com/medicare
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PPO II - EmblemHealth

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