Banner members have the right to file a “reconsideration” when Banner makes a coverage decision and you are not satisfied with this decision, you can “appeal” the decision. An appeal is a formal way of asking us to review a coverage decision again and possibly change the initial decision in your favor.
You, an appointed representative, or your provider may file an appeal on your behalf.
Start by calling, writing, or faxing us. You, your representative, or your doctor (or other prescriber) can do this. You may call our Customer Care Center if you have questions about filing a grievance.
Banner Medicare Rx
Attn: Customer Care Center
5255 E Williams Circle, Ste 2050
Tucson, AZ 85711
Email: BUHPGrievances&[email protected]
Customer Care Center: (844) 549-1859, TTY 711
You may also file a complaint or get information directly from Medicare, by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week, TTY/TDD users call 1-877-486-2048. You can also visit the Medicare website.
You have the right to get a summary of information about the appeals, grievances, and exceptions that you have filed against Banner. To request this information, call our Customer Care Center and ask for the Grievance and Appeals Department.