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Part D Appeals

Part D Appeals – What is an appeal?

An appeal is the process to review a decision you may not like. The negative decision is called a coverage determination. You would file an appeal if you want us to review it again and change our mind about what Part D prescription drug benefits are covered for you or what we will pay for a prescription drug.

Filing an Appeal

You, your doctor, or your appointed representative may file an appeal in the following ways:

Call us:  1-866-549-8289 (TTY: 711)
Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

Fax:  1-844-273-2671

Mail:  Our address is:
Buckeye Health Plan
Attn: Appeals and Grievances - Medicare Operations
7700 Forsyth Blvd
St Louis, MO 63105

Complete a Request for Redetermination Form - English (PDF).