Complaints and Appeals

If you have a complaint, dispute or level of dissatisfaction with Independent Health or one of our affiliated providers, or if you disagree with a coverage decision we have made, you will find assistance here.

Complaints
If you have a grievance, which is any complaint, dispute or level of dissatisfaction you may have with Independent Health or one of our affiliated providers you may:

Print and fill out the Member Complaint Form and mail, email or fax it to:

Independent Health
Benefit Administration
P.O. Box 2090
Buffalo, NY 14231-2090
Email: appeals@independenthealth.com
Fax: (716) 635-3504

Call Member Services at (716) 250-4401 or 1-800-665-1502
(TTY users call 1-800-432-1110),
October 1 – February 14: Monday – Sunday, 8 a.m. – 8 p.m.
February 15 – September 30: Monday – Friday 8 a.m. – 8 p.m.

You may also file a complaint directly with Medicare or the Medicare Ombudsman.

Appeals
An appeal is the type of complaint you make if you disagree with a coverage decision we have made.

  • To appeal, complete the Member Appeals Form within 60 days of the initial coverage decision, and mail, email or fax it.

Independent Health
Benefit Administration
P.O. Box 2090
Buffalo, NY  14231-2090
Email: appeals@independenthealth.com
Fax: (716) 635-3504

Or call Member Services at (716) 250-4401
or 1-800-665-1502 (TTY users call 1-800-432-1110),
October 1 – February 14: Monday – Sunday, 8 a.m. – 8 p.m.
February 15 – September 30: Monday – Friday 8 a.m. – 8 p.m.

  • If you need someone else to file a complaint or appeal on your behalf, you will need to fill out an Appointment of Representative Form or provide appropriate legal papers supporting your status as the member’s authorized representative.

    Mail, email or fax us this completed form along with the Member Appeal/Complaint Form.

To learn more about how Independent Health manages complaints and appeals, review the Appeals and Quality of Care Complaints Information.

For more information on complaints and appeals please refer to your Evidence of Coverage (EOC) for your Medicare Advantage plan.

Disclaimers
Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Enrollment in Independent Health depends on contract renewal.
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Y0042_C5556 Approved
Last Updated: 2/17/2016
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Need Help or More Information?

(716) 250-4401 or 1-800-665-1502 (TTY: 1-800-432-1110)

Hours:
October 1 – February 14: Monday – Sunday, 8 a.m. – 8 p.m.

February 15 – September 30: Monday – Friday, 8 a.m. – 8 p.m.