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(866) 231-7201 - Toll-Free
711 - TTY
8 a.m. - 8 p.m. local time- 7 days a week
Call Us: 866-231-7201 Toll Free

Member Appeal Request Information

If you do not agree with a decision made by Preferred Care Partners regarding a request for coverage or payment of services, you can download the form below and follow the steps listed to file your appeal.

  1. Download the Member Appeal Request form
  2. Include copies of documents that help support the appeal.
  3. Mail or fax completed form and documentation to:

Grievance and Appeals Department
PO Box 6106
MS CA 124-0157
Cypress, CA 90630
Standard Appeal Fax#: 1-888-517-7113
Expedited Appeal Fax#: 1-866-373-1081

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 plan's performance rating including how it has been rated by plan members and how it compares to other Medicare Advantage health plans.

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.


Phone

1 866 231-7201 - Toll-Free
TTY users call toll-free 711

Fax

Standard Appeal Fax#: 1-888-517-7113 Expedited Appeal Fax#: 1-866-373-1081

Email

PCP_GrievanceAppeals@uhcsouthflorida.com

Mail

PO Box 6106
MS CA 124-0157
Cypress, CA 90630

2017 Evidence of Coverage (EOC)