Grievance, coverage determinations, appeals procedures, and exceptions process for Prescription Drug Coverage

We encourage you to let us know right away if you have questions, concerns, or problems related to your covered services or the care you receive. Please call Customer Service at 800-336-0123, Monday through Friday from 7:30 a.m. to 6 p.m. TTY/TDD users should call 775-982-3240.

If Senior Care Plus refused to give you a prescription-drug benefit that you think is covered, you can request an appeal. If we have refused to pay for a prescription drug that you have already received and you believe that it is covered, you can make an appeal. If you have been receiving a prescription drug, and you think it is being reduced or ending too soon, you can make an appeal. When you file an appeal, you are asking us to reconsider and change a decision we have made about what prescription-drug benefit we will cover for you (which includes whether we will pay for a drug that you have already received, or how much we will pay).

Please refer to your Evidence of Coverage for more information regarding Grievance and Appeal Rights or contact Senior Care Plus.

Back to top