GRIEVANCE AND APPEALS
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 1-877-615-4022 . (TTY users should
call 1-800-955-8770.) Hours are 8:00 a.m.-8:00 p.m. EST, seven days a
week. 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.
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 1-877-615-4022. (TTY 1-800-955-8770). We are open from 8:00 a.m.
– 8:00 p.m. local time seven days a week.
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 1-877-615-4022, TTY number 1-800-955-8770. We are open from 8 a.m.
- 8 p.m. EST, seven days a week. 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.
Florida Health Care Plans is an HMO plan with a Medicare Contract. Enrollment
in Florida Health Care Plans depends on contract renewal. Medicare beneficiaries
may also enroll in Florida Health Care Plans through the CMS Medicare
Online Enrollment Center located at
Page Last Updated: 10/03/17