Questions? Call Preferred Care Network
Questions? Call Preferred Care Network
Grievance and Appeals 2025
Click here for 2024 Grievance & Appeals.

If you do not agree with a decision made by Preferred Care Network you can submit an appeal that is a formal way of asking us to review and change a coverage decision we have made.

 

You can make a complaint about us or one of our network pharmacies, including a complaint about the quality of your care. This type of complaint does not involve coverage or payment disputes.

File your Grievance or Appeal

You can download the form below and follow the steps listed to file your Grievance or Appeal.

  1. Download the Grievance and Appeal Request Form.

  2. Include copies of documents that help support the appeal.

  3. Mail or fax completed form and documentation to:

Grievance and Appeals for Medical Care - Part C

  • UHC MedicareMax Medicare Advantage FL-0028 (HMO)

    UHC MedicareMax Medicare Advantage FL-0029 (HMO)

    UHC MedicareMax Complete Care FL-30 (HMO C-SNP)

    • Phone

      Phone

      Standard Appeal:

      1-800-407-9069
      (TTY - 711) Toll-Free

      Expedited Appeal:

      1-877-262-9203
      (TTY - 711) Toll-Free

    • Mail

      Mail

      Preferred Care Network
      Appeals & Grievance Department
      P.O. Box 6106,
      MS CA120-0360,
      Cypress, CA 90630-0016

    • Fax

      Fax

      Expedited Appeal:

      1-866-373-1081

Grievance and Appeals for Medical Care - Part C

  • UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP)

    UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP)

    UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)

    • Phone

      Phone

      Standard Appeal:

      1-866-480-1086
      (TTY - 711) Toll-Free

      Expedited Appeal:

      1-855-409-7041
      (TTY - 711) Toll-Free

    • Mail

      Mail

      Preferred Care Network
      Appeals & Grievance Department
      P.O. Box 6106,
      MS CA120-0360
      Cypress, CA 90630-0016

    • Fax

      Fax

      Expedited Appeal:

      1-866-373-1081

Grievance and Appeals for Prescription Drugs - Part D

  • UHC MedicareMax Medicare Advantage FL-0028 (HMO)

    UHC MedicareMax Medicare Advantage FL-0029 (HMO)

    UHC MedicareMax Complete Care FL-30 (HMO C-SNP)

    • Phone

      Phone

      Standard Appeal:

      1-800-407-9069
      (TTY - 711) Toll-Free

      Expedited Appeal:

      1-877-262-9532
      (TTY - 711) Toll-Free

    • Mail

      Mail

      Preferred Care Network
      Appeals & Grievance Department
      P.O. Box 6106,
      MS CA120-0368
      Cypress, CA 90630-0016

    • Fax

      Fax

      Expedited Appeal:

      1-866-308-6294

      Expedited Appeal:

      1-866-308-6296

Grievance and Appeals for Prescription Drugs - Part D

  • UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP)

    UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP)

    UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)

    • Phone

      Phone

      Standard Appeal:

      1-866-480-1086
      (TTY - 711) Toll-Free

      Expedited Appeal:

      1-855-409-7041
      (TTY - 711) Toll-Free

    • Mail

      Mail

      Preferred Care Network
      Appeals & Grievance Department
      P.O. Box 6106,
      MS CA120-0368
      Cypress, CA 90630-0016

    • Fax

      Fax

      Expedited Appeal:

      1-866-308-6294

      Expedited Appeal:

      1-866-308-6296

As a member of our plan, you have the right to get several kind of information from us. This includes 
information about the number of appeals made by members and the plans performance rating 
including how it has been rated by plan members and how it compares to other Medicare Advantage 
health plans. To file a complaint directly to CMS. https://www.medicare.gov/MedicareComplaintForm/home.aspx

 

For detailed information on the process of filing a grievance or appeal and obtaining a coverage 
determination, refer to Chapter 9 of your Evidence of Coverage.