Other Appeals and Grievances Information

Please contact Customer Service Representatives for information related to the aggregate number of appeals, grievances, and exceptions filed with the Plan, and for information regarding the process or status of your case.

How to contact Medicare

Customer Service Representatives are dedicated to personally solving any problems you may have with us and our providers to your full satisfaction. If you prefer to contact the Centers for Medicare and Medicaid Services (CMS) directly, please visit Medicare's web site:

• Medicare online complaint form
• Medicare Beneficiary Ombudsman

Also, the Evidence of Coverage (EOC) includes more details about grievances, coverage determinations, appeals procedures, and exceptions in Chapter 9, and your rights and responsibilities upon disenrollment are listed in Chapter 8.

How to appoint a representative

If you want to name someone (such as a relative, friend, advocate, doctor, lawyer, or anyone else) to handle appeals and grievances with us on your behalf, the person you name would be your appointed representative. You can use this form:

Appointment of representation form

If you want to give someone permission to access your personal health information (for example claims, medical, or financial information) please use this form:
Authorization to disclose your Protected Health Information (PHI) form

Please send your completed form(s) to us at:

Health First Health Plans

6450 US Highway 1
Rockledge, FL 32955

Health First Health Plans is an HMO plan with a Medicare Contract. Enrollment in Health First Health Plans depends on contract renewal.

Y0089_EL108951_M | Accepted date: 10/01/2024
Last updated: 10/01/2024