Appeals & Grievances

General Appeals & Grievances

There are three types of processes for handling problems and concerns:

Part D Appeals & Grievances

There are times when you may have a problem or concern regarding your Part D (prescription drug coverage). The following will help you with that process.

Please refer to Chapter 9 of your plan's Evidence of Coverage (EOC) for more information regarding grievance, determination, and appeals processes. You may contact customer service with any questions or concerns, including how to obtain information regarding the aggregate number of grievances, appeals, and exceptions filed with Premera Blue Cross Medicare Advantage Plans.

If you'd like to find out the total number of grievances, appeals, and exception requests Premera members have filed with us, please call 888-850-8526 (TTY/TDD: 711). April 1 to September 30, Monday to Friday, 8 a.m. to 8 p.m. October 1 to March 31, 7 days a week, 8 a.m. to 8 p.m.