You also may refer to Chapter 7 or Chapter 9 in your Evidence of Coverage, titled: What to do if you have a problem or complaint (coverage decisions, appeals, complaints).
If you prefer to contact Medicare, you can call (800) Medicare (800-633-4227) or TTY/TDD (877) 486-2048 24 hours a day, seven days a week. Or you can file a complaint on the Medicare website. The Office of the Medicare Ombudsman (OMO) can help you.
To obtain an aggregate number of grievances, appeals and exceptions filed with the plan, contact us.
The time to complete standard service and fast requests may be extended by up to 14 days if we need more information and the extension is in your best interest. if we take an extension, we will notify you in writing of the reason we need more time. You may file an expedited grievance if you disagree with our decision to take an extension. You may also request a 14 day extension if you need more time to provide us with additional information.
If you have a complaint or a problem, contact us right away. We may be able to resolve your complaint or approve a request over the phone.
Copyright © 2018 HAP
2018 Health Alliance Plan of Michigan
Y0079_2019 RCL Web Pages R
CMS Accepted 11/21/2018
Copyright © 2019 HAP
2019 Health Alliance Plan of Michigan
Y0076_ALL 2020 HAP Website_M
CMS Accepted 9/29/2019
Last Updated 9/26/2019
Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.
This information is not a complete description of benefits. For more information call Medicare Michigan customer service at (800) 868-9885 (TTY: 711) 8 a.m. to 8 p.m., seven days a week (Oct. 1 – March 31) / 8 a.m. to 8 p.m., Monday through Friday (April 1 - Sept. 30).
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