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File a Medicare coverage decision, appeal or grievance

Find the help you need

 

This page can help you file a coverage decision, an appeal or a grievance. We’ll explain what each one means and help you figure out your next step. Rather talk with someone? You can call the number on your member ID card.

Medicare coverage decisions

 

Wondering if your plan will cover a medical service or prescription drug? You can ask us for a coverage decision. We’ll let you know if your plan will cover it.

 

Learn how to request a coverage decision

Medicare appeals

 

Did you already ask us to cover a medical service or prescription drug? If our answer was no, you can file an appeal. An appeal means you’re asking us to take another look at our decision.

 

Learn how to file an appeal

Medicare grievances

 

Do you have a concern about your care? You can file a grievance. A grievance is like a complaint. It can be about Allina Health | Aetna Medicare, your doctor or something else.

 

Learn how to file a grievance

You have the right to suggest changes in the plan’s policies and services, including our Member Rights and Responsibilities policy.