Vision Coverage Transportation Services Supplemental Benefits Getting Care Toggle menu Find a Provider Out-of-Network Coverage Care Coordination Long Term Services Toggle menu Home and Community-Based Services & Waivers Nursing Facilities Self-Directed Care Member Resources Toggle menu Welcome to Your Plan Member Rights and Responsibilities Grievances, Appeals and Coverage Decisions How to Report Fraud How to Contact Home Care Ombudsman Health and Wellness Forms and Documents How to Enroll Contact Us En español open side navigation menu Log In Grievances, Appeals and Coverage Decisions At Blue Cross Community MMAI (Medicare-Medicaid Plan)SM, we take great pride in ensuring that you receive the care you need. If you have a complaint about how we handle any services provided to you, you can file a grievance or an appeal. You also have the right to ask for a coverage decision. Grievance (Complaint) Appeals How to File an Appeal or Grievance Coverage Decisions How to Appoint a Representative As an MMAI member, you can ask us for the total number of grievances and appeals filed with our plan. Contact Us to get this information. Find a Doctor or Hospital Find Prescription Drugs Forms & Documents Legal and Privacy Important Plan Information Non-Discrimination Notice Site Map Contact Us A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2021 Health Care Service Corporation. All Rights Reserved. File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com You are leaving this website/app ("site"). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy. Last Updated: 09302021 H0927_WEBILMMAI22Accepted