Grievances & Appeals
Call Member Services at 1-833-866-6559 (TTY: 1-800-955-8770)
Hours: 8 a.m. to 8 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, we are open 8 a.m. to 8 p.m. local time, Monday through Friday, except for major holidays.
Late Enrollment Penalty (LEP) Appeals
Medicare beneficiaries may incur a late enrollment penalty (LEP) if there is a continuous period of 63 days or more at any time after the end of the individual's Part D initial enrollment period during which the individual was eligible to enroll but was not enrolled in a Medicare Part D plan and was not covered under any creditable prescription drug coverage.
Medicare Advantage (Part C) and Prescription Drug (Part D): Appeals & Grievances
You have the right to file a grievance or submit an appeal and ask us to review your coverage determination.
- How to File an Appeal or Grievance
- Part D Coverage Determination Form
- Part D Coverage Redetermination 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. Upon request, Medicare Advantage and Prescription Drug plans are required to disclose grievance and appeals data to enrollees in accordance with regulatory requirements. You can contact Member Services at 1-833-866-6559 (TTY users should call 1-800-955-8770).
Appoint a Representative
You can appoint someone to act on your behalf, please contact Member Services by calling 1-833-866-6559 (TTY users should call 1-800-955-8770) and ask for the “Appointment of Representative” form. Or, click the below link to the CMS Appointment of Representative English form.
CMS Appointment of Representative form
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). Or, click on the below link to the CMS Medicare Complaint form.