Send an Exception Request or Appeal by email

You, your representative or your prescriber can also start a coverage determination (exception) and coverage redetermination (appeal) request for Part D prescription drugs by sending us an email. Grievances should continue to be filed by phone, in person or by writing to the addresses above. For more information about requests for medical and hospital services, please call Customer Service or refer to your plan’s Evidence of Coverage listed below.

Please provide the same information asked for in the above Medicare Prescription Drug Coverage Determination and Redetermination Request forms in your email request. You can also complete these forms and attach them to your email. If you wish, please provide more information and attach any other supporting documents.

Please select from the addresses listed below to send exception and appeal requests by email. If you have questions or concerns, please call Customer Service at the numbers provided below.

EmblemHealth Medicare Members should send

Nondiscrimination Policy

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