Our Responsibilities as Your Health Plan:
Give you information about the plan, its network of providers, and your covered services. We must provide information in a way that works for you (in languages other than English, Braille, large print or other alternative formats).
The quality of our care and services is very important to 麻豆传媒映画, as is our Members鈥� safety. Our Quality Improvement Program uses things like quality scores, reports, and Member and Provider satisfaction surveys to see how we are doing.
An appeal is a formal way of asking us to review and change a coverage decision we have made.
A new payment option that started in 2025. This payment option helps you spread out the cost of your medicine across the calendar year. There is no cost to participate in the Medicare Prescription Payment Plan.
Learn more about听Medicare Prescription Payment Plan
For prior authorizations for certain services, your Provider must contact us by telephone, electronically or in writing to request appropriate authorization.
Use these forms when you pay full price for a something you believe should have been covered by your plan. Complete the Part C Form for medical (doctor鈥檚 office) expenses and the Part D Form for pharmacy expenses.
Mail to:
Claims Payment Request
P.O. Box 301404
Houston, TX 77230-1404
Mail to:听
Manual Claims
P.O. Box 1039
Appleton, WI 54912-1039
To appoint a representative to act on your behalf, you may download this form or call Member Services for assistance.
H9826_IT_10045_092919_M Last updated October 15, 2026.
As a local nonprofit health plan, 麻豆传媒映画 gives you plenty of reasons to join our 麻豆传媒映画. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, 麻豆传媒映画 is always working life forward for you and your family.
鈥溌槎勾接郴� is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.鈥�
鈥� Cecily
Member of 麻豆传媒映画
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