As a member of Allegian Advantage Plans you have rights and responsibilities upon enrollment and disenrollment. For information please refer to Chapters 8 & 10 of your plan’s Evidence of Coverage (EOC).

Notice of Potential Contract Termination

Allegian Health Plans, by law may choose not to renew its contract with the Centers for Medicare & Medicaid Services (CMS). CMS may choose not to renew its contract with Allegian Health Plans. The termination of the contract between CMS and Allegian Health Plans would result in the termination of a beneficiary’s enrollment in Allegian Advantage Plans. In addition, Allegian Advantage Plans may reduce its service area and no longer offer services in the area where a beneficiary resides.

If You Have a Concern or Complaint

Allegian Advantage Plans strives to deliver excellent customer service and quality of care. Sharing your concerns allows us the opportunity to improve our service and our health plan. Should you experience any problems with service delivery from us or one of your health care providers, we want to hear from you. You may file a complaint (grievance) by calling us at (855) 805-4152 or click here.

You may also file your complaint or grievance directly with Medicare. By clicking here you will be redirected to the Medicare.gov site.

Prior Authorization Notice

Some medical services and prescription drugs require a prior authorization before members can receive them. Please check with your Primary Care Provider, who will request prior authorizations for you. The medical services and prescription drugs that require prior authorization may change at the start of or during the plan year.

H8554_011-2017 Approved (Updated 11/07/16)

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