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Grievance and Appeals Summary for Pharmacy Benefits
When Your Pharmacy Claim is Denied
Pharmacy Claims – HealthChoice SilverScript Medicare Supplement Plans
If your pharmacy claim is denied and you have questions concerning the grievance and appeal process, please contact the pharmacy benefit manager:
SilverScript Plans toll-free 866-275-5253 or TTY 711
Pharmacy Claims – HealthChoice Medicare Supplement Plans Without Part D
We encourage you to contact us as soon as possible if you have questions, concerns, or problems related to your prescription drug coverage. If your pharmacy claim is denied and you have questions concerning the denial, please contact the pharmacy benefit manager, 7 a.m. to 12:00 a.m., 7 days a week at 877-720-9375 or TTY 711.
If you want to appeal a denied pharmacy claim based on clinical criteria provided by your physician, you can fax your written appeal to 405-717-8925 or mail it to:
EGID Pharmacy Unit
3545 N.W. 58th St., Ste. 600
Oklahoma City, OK 73112
If your appeal is denied, you have the right to file a grievance with EGID. Please follow the same procedures used when appealing a denied medical claim.