INSURANCE FAQ - Grievances and Appeals
Your Grievance and Appeals Rights: There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal. For more information about your rights, look at the Explanation of Benefits you will receive for that medical claim. Your plan documentation also provides complete information to submit a claim, appeal, or a grievance for any reason to your plan. For additional information about your rights, or assistance, contact: United Healthcare **Medicare Advantage type** https://www.uhcretiree.com/soi/appeals_and_grievances.html Appeals address: Coventry Advantra (An Aetna Company) **Medicare Advantage type** https://www.coventry-medicare.com/state-of-illinois/en/contact-us/appeals-grievances.html Health Alliance **Medicare Advantage type** https://medicare.healthalliance.org/content/complaint Humana **Medicare Advantage type** If you have any questions about the plan, call Humana at 1-800-951-0125 (TTY: 711). EyeMed https://www.eyemedvisioncare.com/stil/public/faqs.emvc Delta Dental of Illinois http://soi.deltadentalil.com/claims%20appeal%20procedures.pdf State of Illinois State Employee Group Insurance Plan (SEGIP) Administrator Contacts |