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Appeals & Grievances

Across our communication materials, Highmark Medicare Advisors and our Member Services team, we do our best to provide you with the information you’ll need to make good choices about plans and to make the most of the benefits offered on your selected plan.

You have the right to make a formal complaint about the service you receive. “Appeals” and “grievances” are two different kinds of complaints. See the policies and procedures below for making these complaints, which may vary by plan type. For complete information, please refer to your specific plan in the Plan Documents section of this website to view and download “Additional Rights, Responsibilities and Instructions” and “Evidence of Coverage” documentation.

Medicare Advantage Part C plan rights

The PDF documents below contain important instructions for how to make a complaint about your Medicare Advantage plan or the service you receive.

Freedom Blue PPO plans

Security Blue HMO plans

Community Blue Medicare HMO plans

Community Blue Medicare PPO plans

Part D Prescription Drug plan rights

The PDF documents below contain important instructions for how to make a complaint about your Medicare Prescription Drug plan or the service you receive.

Blue RX PDP plans