3. What is an appeal? Posted on September 11, 2017 at 12:34 pm.Written by advantage_admin Appeal: The action you take if you do not agree with our determination to deny coverage or a payment request for health care services or prescription drugs. You may also file an appeal if you do not agree with our determination to cease the services you are receiving. For example, you may file an appeal if we refuse to pay for a prescription drug, item, or service you understand you should receive. 2. How do I file an appeal? Posted on September 11, 2017 at 12:33 pm.Written by advantage_admin You may print out the following forms to send the information: You may call 1-888-620-1919 to file an appeal, from Monday thru Sunday, from 8:00 am to 8:00 pm. TTY/TDD users may call 1-866-620-2520. You may also: send an email to *protected email* send a fax to (787) 993-3261. mail your appeals to: Triple-S Advantage Department of Grievances and Appeals PO Box 11320 San Juan, PR 00922 1. How do I file a grievance with Medicare? Posted on September 11, 2017 at 12:30 pm.Written by advantage_admin You may give us feedback about your Medicare health care or prescription drug plan. This information will help the Centers for Medicare & Medicaid Services continuously improve the Medicare program. Medicare
