2026 Pharmacy Plan Coverage

Part D Appeal Request

Prescriptions / Part D Appeal Request

Request for Redetermination of Medicare Prescription Drug Denial

Because HealthTeam Advantage denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for a redetermination (appeal) of our decision. You have 65 days from the date of our Notice of Denial of Medicare Prescription Drug Coverage to ask us for a redetermination.

Expedited appeal requests can be made by phone:

    • HealthTeam Advantage Plan I PPO, Plan II PPO, and Vitality PPO members, call RxAdvance at 1-800-237-1992 (TTY 711).
    • HealthTeam Advantage Diabetes & Heart Care HMO C-SNP members, call RxAdvance at 1-800-459-0984 (TTY 711).

Who May Make a Request: Your prescriber may ask us for an appeal on your behalf. If you want another individual (such as a family member or friend) to request an appeal for you, that individual must be your representative. Contact us to learn how to name a representative.