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You have the right to file a grievance or submit an appeal and ask
us to review our determination.
How to file an Appeal or Grievance
Appeals & Grievances Form
You can appoint someone to act on your behalf.
Appointment of Representative Form
You have the right to submit an appeal and ask us to review coverage
How to Submit
Coverage Determination Form
Coverage Redetermination Form
Access resources for FHCP Medicare plans.
To send a complaint to Medicare, complete the
Medicare Electronic Complaint form.