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Grievances and Appeals

We are committed to providing you with the best possible service. If you have a problem with Health Partners Medicare, contact Member Relations at 1-866-901-8000 (TTY 1-877-454-8477) and we will work to resolve the issue.

You also have the right to file an appeal or grievance. If you believe that Health Partners Medicare should pay for a service or benefit that has been denied, in whole or in part, you have the right to appeal the decision.

If you have any other type of complaint or problem with our plan, you can file a grievance.

You can file a grievance or appeal verbally by calling Member Relations at the numbers above, or you can send your grievance or appeal in writing to:

Attn: Complaints, Grievances & Appeals Unit
Health Partners Medicare
901 Market Street, Suite 500
Philadelphia, PA 19107

Grievances and appeals can also be faxed to 215-991-4105.

For information about the number of grievances, appeals and exceptions filed with Health Partners Medicare, call Member Relations at 1-866-901-8000 (TTY 1-877-454-8477). From October 1 to March 31, we’re available 8 a.m. to 8 p.m., 7 days a week. And from April 1 to September 30, we’re available 8 a.m. to 8 p.m., Monday to Friday.

If you would like to file an Expedited Grievance or Appeal and it is outside of normal Member Relations hours of operation, please fax your expedited request to 215-991-4105.

Appointment of a representative

You can name someone to act on your behalf, such as a relative, doctor, friend, or lawyer. To give this person legal permission to represent you, you will need to send us a completed Appointment of Representative Form.

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