An appeal is when you ask for a formal hearing when you do not agree with a decision made by your health plan. You have the right to appeal when your health plan:Denies or limits a service approval requestDoes not approve a service in an amount length of time, or scope that you requestedDenies payment for a serviceSuspends, reduces, discontinues, or terminates servicesDoesn't act upon your grievance or appeal within required timeframesDenies your request to disagree with a billRequesting an appeal with your health plan:Contact a member representative from your health plan by phone or mailThe member handbook from your health plan tells you how to file an appealYou have sixty (60) days from the date on your notice of adverse benefit determination to request an appeal with your health planMore Information is available in the member handbooks for your plan at the following links:HealthyBlueMO.comUHCCCommunityPlanHome State HealthRequesting a State Fair Hearing:You can request a State Fair Hearing after your appeal to the health plan has been finalized
You can request a State Fair Hearing after your appeal to the health plan has been finalized
Have questions? We can help. Choice Counselors are available at 800-348-6627 to answer your questions Mon-Fri 7am-6pm CT.
PO Box 771082, St Louis, MO 63177-1082
Customer Service Hours: Mon-Fri 7am-6pm CT
© 2022 Administered by Automated Health Systems, Inc.