What if I don agree with Anthems determination of coverage related to Prior Authorization, Step Therapy, Quantity Limits, or other prescription coverage determinations?
Anthem maintains processes for complaints and appeals.You have the right to file a complaint or a formal appeal regarding Anthem’s services, coverage, products etc. (please see your IU overview booklet for details) You or your authorized representative may contact your health plan with a formal appeal request.
Related Questions
- What if I don agree with Anthems determination of coverage related to Prior Authorization, Step Therapy, Quantity Limits, or other prescription coverage determinations?
- Who is responsible for obtaining the prior authorization/pre-service determination of medical necessity?
- What is COBRA coverage and for which benefits does Anthem administer COBRA coverage?
