HealthChoice Medicare Supplement Plans Without Part D
Grievance and Appeals Summary for Pharmacy Benefits
We encourage you to let us know right away 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 Express Scripts Member Services toll-free at 1-800-903-8113. TDD users call 1-800-825-1230.
If you wish to appeal a denied pharmacy claim based on clinical criteria provided by your physician, you may mail or fax your written appeal to:
EGID Pharmacy Unit
3545 NW 58th, Ste 110
Oklahoma City, OK 73112
If your appeal is denied, you have the right to file a grievance with EGID.
Members without Part D will follow the same appeals procedures used when appealing a denied health claim.