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  • Florida Health Care Plans welcomes you to our online Member Portal. To begin taking advantage of this offering, you must login using your Member Portal account, or if you do not have an account, create one by clicking the above link labeled “New Member Registration.” If you require assistance with logging into the Member Portal, please contact technical support at 1-877-814-9909.

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Grievances & Appeals

We Are Here to Help

Florida Health Care Plans 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 our Member Services number at 1-833-866-6559 (TTY users 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. From April 1 through September 30, we are open 8 a.m. – 8 p.m. local time, Monday – Friday or click on the link below to 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 Florida Health Care Plans.

Record of Grievances

If you would like to find out the total number of grievances, appeals and exception requests Florida Health Care Plans members have filed with us, please call our Member Services Department. Florida Health Care Plans members: call 1-833-866-6559 (TTY users 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. From April 1 through September 30, we are open 8 a.m. – 8 p.m. local time, Monday – Friday.

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 call Member Services. Florida Health Care Plans members: call 1-833-866-6559 (TTY users 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. From April 1 through September 30, we are open 8 a.m. – 8 p.m. local time, Monday – Friday. Ask for the “Appointment of Representative” form. (The 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.