Grievance and Appeals 2024
Click here for 2025 Grievance & Appeals.
If you do not agree with a decision made by Preferred Care Network you can submit an appeal that is a formal way of asking us to review and change a coverage decision we have made.
You can make a complaint about us or one of our network pharmacies, including a complaint about the quality of your care. This type of complaint does not involve coverage or payment disputes.
File your Grievance or Appeal
You can download the form below and follow the steps listed to file your Grievance or Appeal.
Download the Grievance and Appeal Request Form.
Include copies of documents that help support the appeal.
Mail or fax completed form and documentation to:
Grievance and Appeals for Medical Care - Part C
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UHC MedicareMax Medicare Advantage FL-0028 (HMO) Miami-Dade
UHC MedicareMax Medicare Advantage FL-0029 (HMO) Broward
UHC MedicareMax Complete Care FL-0030 (HMO C-SNP) Miami-Dade and Broward
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Phone
Standard Appeal:
1-800-407-9069
(TTY - 711) Toll-FreeExpedited Appeal:
1-877-262-9203
(TTY - 711) Toll-Free -
Mail
Preferred Care Network
Appeals & Grievance Department
P.O. Box 6106,
MS CA124-0157,
Cypress, CA 90630-0016 -
Fax
Expedited Appeal:
1-866-373-1081
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Grievance and Appeals for Medical Care - Part C
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UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP) Miami-Dade and Broward
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Phone
Standard Appeal:
1-800-407-9069
(TTY - 711) Toll-FreeExpedited Appeal:
1-855-409-7041
(TTY - 711) Toll-Free -
Mail
Preferred Care Network
Appeals & Grievance Department
P.O. Box 6106,
MS CA 124-0187
Cypress, CA 90630-0016 -
Fax
Expedited Appeal:
1-866-373-1081
-
Grievance and Appeals for Prescription Drugs - Part D
-
UHC MedicareMax Medicare Advantage FL-0028 (HMO)
UHC MedicareMax Medicare Advantage FL-0029 (HMO)
UHC MedicareMax Complete Care FL-0030 (HMO C-SNP)
-
Phone
Standard Appeal:
1-800-407-9069
(TTY - 711) Toll-FreeExpedited Appeal:
1-877-262-9532
(TTY - 711) Toll-Free -
Mail
Preferred Care Network
Appeals & Grievance Department
P.O. Box 6106,
MS CA124-0197
Cypress, CA 90630-0016 -
Fax
Expedited Appeal:
1-866-308-6294
Expedited Appeal:
1-866-308-6296
-
Grievance and Appeals for Prescription Drugs - Part D
-
UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP)
-
Phone
Standard Appeal:
1-800-407-9069
(TTY - 711) Toll-FreeExpedited Appeal:
1-855-409-7041
(TTY - 711) Toll-Free -
Mail
Preferred Care Network
Appeals & Grievance Department
P.O. Box 6106,
MS CA124-0197
Cypress, CA 90630-0016 -
Fax
Expedited Appeal:
1-866-308-6294
Expedited Appeal:
1-866-308-6296
-
As a member of our plan, you have the right to get several kind of information from us. This includes
information about the number of appeals made by members and the plans performance rating
including how it has been rated by plan members and how it compares to other Medicare Advantage
health plans. To file a complaint directly to CMS. https://www.medicare.gov/MedicareComplaintForm/home.aspx
For detailed information on the process of filing a grievance or appeal and obtaining a coverage
determination, refer to Chapter 9 of your Evidence of Coverage.