• Medical Appeals
     
    Please use the Customer/Member Services number on the back of your enrollment card. For more information and the specific steps that need to be taken to move forward with an appeal, please refer to Section 15: Appeals Procedures in the Summary Plan Description (SPD) for your plan option.
     
     
    Pharmacy Appeals
    • A written notification of a coverage denial will be sent to your home address, the notice will include an Appeal Filing Form and Instructions.
    • You have 180 calendar days after you receive a coverage denial to send a written request to Pharmacy Benefit Dimensions (PBD)/ Independent Health to reconsider your denial of coverage with reasons to reconsider.
    • Your appeal must be made in writing to PBD/ Independent Health Benefits Administration, 511 Farber Lakes Drive, Buffalo, NY 14221.