Hours: 8:00 AM - 8:00 PM 7 days a week
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Members: 1-800-204-1002
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TTY: 1-800-713-1603
National Home Members Member Information Helpful Resources
 

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Helpful Resources

To contact us by mail:
Care Improvement Plus
351 West Camden Street, Suite 100
Baltimore, MD 21201
Attn: Member Services

To contact us by phone with enrollment questions:
1-800-711-1656 (TTY: 1-800-713-1603)
7 days a week 8:00 am - 8:00 pm

To enroll over the phone:
1-866-683-3321 (TTY: 1-800-713-1603)

To contact Member Services:
1-800-204-1002 (TTY: 1-800-713-1603)
7 days a week 8:00 am - 8:00 pm

To contact the Care Improvement Plus 24/7 Nurse Hotline:
1-800-210-3315 (TTY: 1-800-713-1603)
7 days a week 24 hours a day

To Contact the Care Improvement Plus Mental Health Services Hotline:
1-888-751-1235 (TTY: 1-800-713-1603)
7 days a week 24 hours a day

Part C Coverage Decisions
For medical care organization determinations and authorizations, contact us at:
Phone: 1-800-204-1002 (TTY: 1-800-713-1603)

For Pre-authorizations on certain medications administered in the doctor's office contact us at:
Phone: 1-800-204-1002 (TTY: 1-800-713-1603)
Fax: 1-866-311-9848

Part C Appeals
To obtain a standard medical care appeal, send appeal request in writing to Care Improvement Plus:

By mail:
Care Improvement Plus
351 West Camden Street, Suite 100
Baltimore, MD 21201
Attn: Compliance Appeals
By fax: 1-866-272-2942

To obtain an expedited medical care appeal, contact us at:
Phone: 1-800-213-0672 (TTY: 1-800-713-1603)
Fax: 1-866-272-2942

To obtain a standard medical care appeal for certain medications that have restrictions and are given in the Doctor's office, send appeal request in writing to Care Improvement Plus:

By mail:
Care Improvement Plus
Attn: Pharmacy Part C Appeals
351 W. Camden Street, Suite 100
Baltimore, MD 21201

By Fax:
1-866-311-9848

To obtain an expedited medical care appeal for certain medications that are restricted and are given in the Doctor's office, contact us at:
Phone: 1-866-904-6561 (TTY: 1-800-713-1603)
Fax: 1-866-311-9848

Grievances
To file a grievance/complaint (standard or expedited) you can write to us at the address above or contact Member Services at 1-800-204-1002 (TTY: 1-800-713-1603)

Part D Coverage Decisions
For prescription drug coverage determinations (such as prior authorizations), inquiries, or a status update on a coverage request but not exception requests, contact Medco.

Medco Health Solutions, Inc.
P.O. Box 63067
Irving, TX 75063-0118
Attn: Medicare Reviews
Fax: 1-888-235-8551

By phone (Expedited/Standard): 1-800-753-2851

Formulary Exceptions
For formulary exceptions requests (Expedited/Standard), contact Care Improvement Plus:
By phone: 1-800-204-1002
By fax: 1-866-683-3272
By Mail:
Care Improvement Plus
351 W. Camden Street, Suite 100
Baltimore, MD 21201
Attn: Pharmacy Department

For a status update on formulary exceptions (Expedited/Standard), contact Care Improvement Plus at 1-800-204-1002 (TTY: 1-800-713-1603).

Part D Appeals
All standard appeals should be in writing and mailed or faxed to the following:
Care Improvement Plus
351 W. Camden Street, Suite 100
Baltimore, MD 21201
Attn: Pharmacy Part D Appeals
Fax: 1-866-683-3272

Expedited appeal:
By phone: 1-800-204-1002 (TTY: 1-800-713-1603)
By fax: 1-866-683-3272

Additional Information
As a Care Improvement Plus member, you may request:
  • Additional information from the Centers for Medicare and Medicaid Services by calling 1-800-MEDICARE (1-800-633-4227; TTY: 1-877-486-2048), which is the national Medicare help line, 24 hours a day, 7 days a week.
  • The aggregate number of Care Improvement Plus grievances and appeals by calling Member Services.


This page was last updated on: 1/6/2010 4:26:59 PM
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