Appeals and grievances
Requesting a Part D Appeal or Grievance
If you would like to file an appeal or grievance contact us:
Phone: (888) 609-0692
Fax: (617) 509-4232
Mailing address:
Harvard Pilgrim Health Care
Appeals & Grievances
P.O. Box 328
Canton, MA 02021
Medicare Prescription Drug Redetermination Request Form (pdf)
Level 2 Appeals
If we have denied your prescription drug appeal, the next step is to request a reconsideration by an Independent Review Organization. The following form contains the information you will need to make this request:
Medicare Part D Reconsideration Form (pdf)
Links on this page may take you away from the Harvard Pilgrim Health Care website.
H6750_24007 Last updated: 1/1/2025