Dagiti Panangamiris manen (Dagiti Part D nga Apela)
If we deny your request for a coverage determination (exception), or a payment for a drug, you, your doctor, or your representative may ask us for a redetermination. You have 65 days from the date of our coverage denial letter to request a redetermination. You can complete the Redetermination form, but you do not have to use it.
You can ask for a drug coverage redetermination one of the following ways:
- Online: Complete our online Request for Redetermination of Medicare Drug Denial (Part D appeal) form.
- Drug Coverage Redetermination Form (PDF): Request for Redetermination of Prescription Drug Denial (PDF)
- This form can also be found on your plan's Pharmacy page.
- Mail: Wellcare
Medicare Pharmacy Appeals
P.O. Box 31383
Tampa, FL 33631-3383 - I-fax:1-866-388-1766
- Phone: Contact Us.
An expedited redetermination (Part D appeal) request can also be made by phone at Contact Us.
No sika wenno ti doktormo ket patienyo a ti panaguray ti 7 nga aldaw para ti kadawyan a desision ket pakagapoanan ti serioso a dunor ti salun-at wenno abilidadmo a makaaramid kadagiti banag, mabalin ka nga agdawat ti napaspas (napapartak) a desision. No ibaga ti doktormo daytoy, automatiko nga ikkandaka ti desision iti uneg ti 72 nga oras. No awan ti magun-odmo a suporta ti doktor kenka para ti napapartak nga apela, kitaenmi no kasapulan ti kasom ti napaspas a desision. Saanka nga makakiddaw ti napapartak nga apela no kidkiddawennakami a bayadan ti agas a naawatmon.
Para ti ad-adu nga impormasion maipapan kadagiti panangamiris ti masakupan (dagiti pannakailaksid) ken dagiti panangamiris manen (dagiti Part D nga apela), maidawat a kitaen ti Ebidensia ti Masakupam (EOC).
