Member Rights - Grievances

What Is a Grievance?

If you have a problem with any of our medical policies and procedures, you may file a grievance. You cannot be dropped from the plan for making a complaint.

How to File a Grievance:

You or your doctor may call Customer Service to verbally file a grievance or to check on the status of a grievance:

1-888-311-7508
TTY/TDD users should call 1-800-257-3384
8:00 a.m. to 8:00 p.m. Central Time, 7 days a week

From March 1 to September 30, you may be required to leave a voice mail on weekends and holidays. Calls will be returned within one business day.

Complete the Member Form or Physician Form . Supporting statements from your physician are required. Mail or fax to:

Pharmacy Review
P.O. Box 12485
Birmingham, AL 35202-2485

Fax: (205) 220-9575

More Detailed Information is Available

This information is a brief overview of the BlueAdvantage medical grievance process. Please see Chapters 6 and 7 of your Evidence of Coverage for more information.