Grievances & Appeals
We Are Here to Help
FHCP Medicare wants to ensure our members’ satisfaction. If you are unsatisfied with your health care or prescription drug coverage, please allow us the opportunity to take care of your issue(s). Please contact Member Services by calling 1-833-866-6559 (TTY users should call 1-800-955-8770). From October 1 through March 31, we are open 8 a.m. – 8 p.m. local time, seven days a week, except for Thanksgiving and Christmas. From April 1 through September 30, we are open 8 a.m. – 8 p.m. local time, Monday – Friday, except for major holidays. Or, click on the below link to the CMS Medicare Complaint form.
Below is information about your member rights to file a grievance about your health care or prescription drug services, etc.
We appreciate the opportunity to resolve any issues you may have with FHCP Medicare.
Record of Grievances
If you would like to find out the total number of grievances, appeals and exception requests FHCP Medicare members have filed with us, please contact Member Services by calling 1-833-866-6559 (TTY users should call 1-800-955-8770). From October 1 through March 31, we are open 8 a.m. – 8 p.m. local time, seven days a week, except for Thanksgiving and Christmas. From April 1 through September 30, we are open 8 a.m. – 8 p.m. local time, Monday – Friday, except for major holidays.
Assigning a Representative
If you would like a friend, relative, your doctor or other provider, or other person to be your representative to ask for a coverage decision or make an appeal, please contact Member Services by calling 1-833-866-6559 (TTY users should call 1-800-955-8770). From October 1 through March 31, we are open 8 a.m. – 8 p.m. local time, seven days a week, except for Thanksgiving and Christmas. From April 1 through September 30, we are open 8 a.m. – 8 p.m. local time, Monday – Friday, except for major holidays. Ask for the “Appointment of Representative” form. This form is also available on Medicare’s website via the link below. The form gives that person permission to act on your behalf. It must be signed by you and by the person who you would like to act on your behalf. You must send us a copy of the signed form. Instructions on where to send the form are included in the form.
Rights and Responsibilities upon Disenrollment
You have the right to ask us to reconsider this decision. You can ask us to reconsider by filing a grievance with us. You can look in your “Evidence of Coverage” for information about how to file a grievance, contact us at 1-833-866-6559 (TTY users: 1-800-955-8770) or click here for more information.