Appeals & Grievances
If you believe that there was an incorrect decision made in your health care coverage with us, you have the right to request an internal informal appeal (second review). This appeal can be requested by you, an authorized person, provider or practitioner. You can request an appeal by phone, fax, email, in person or in writing to The Health Plan’s Customer Service Department. You may also provide us with any additional documents, records or information that are relevant to your appeal.
Requirements and deadlines for filing an appeal will vary depending on your benefit plan with The Health Plan. Contact us by calling 1.800.624.6961 to learn more.
The Health Plan
If you have any questions about your referral or the appeals/grievance process, please contact our Customer Service Department.