Care N’ Care wants to provide you with thorough coverage and satisfactory service in all aspects of your medical and prescription drug coverage. This page outlines your rights and various procedures to help you make different kinds of requests.
Organization determinations, appeals and grievances
As a member of Care N’ Care, you have the right to submit Part C organization determinations, appeals and/or grievances as needed. You can learn more about how and why to submit an organization determination, appeal and/or grievance by viewing the Care N’ Care evidence of coverage applicable to your health plan or by viewing the content on the respective pages.
Disenrollments and complaints
Members who wish to end their enrollment in a Care N’ Care health plan may only end their membership during certain times of the year, known as enrollment periods. All members have the opportunity to leave the plan during the Annual Enrollment Period and during the annual Medicare Open Enrollment Period. In certain situations, you may also be eligible to leave the plan at other times of the year.
If you have any questions or would like more information on when you can end your membership, call your Customer Experience Team toll-free at 1-877-374-7993 (TTY 711), October 1 – March 31, 8 am – 8 pm, (CST) seven days a week or April 1 – September 30, 8 am – 8 pm (CST), Monday through Friday.
For more information about disenrolling, view the Care N’ Care evidence of coverage applicable to your health plan.
If you have a complaint, we encourage you to call your Customer Experience Team. You may also contact Medicare.
Information about Medigap Rights
If you disenroll during a Special Election Period and will be changing to Original Medicare you might have a special temporary right to buy a Medigap policy, also known as Medicare supplement insurance, even if you have health problems. For example, of you are age 65 or older and you enrolled in Medicare Part B within the past 6 months or if you move out of the service area, you may have this special right. Federal law requires the protections described above. Your State may have laws that provide more Medigap protections. If you have questions about Medigap or Medigap rights in your State, you should contact your State Health Insurance Program, Health Information, Counseling, and Advocacy Program (HICAP) at 1-800-252-9240. You can also call 1-800-MEDICARE (1-800-633-4227) anytime, 24 hours a day, 7 days a week for more information. TTY users should call 1-877-486-2048.
Material in other formats
Care N’ Care materials are available in Spanish or other alternative formats. To request materials in other formats or learn more, call toll-free at 1-800-994-1076 (TTY 711) October 1– March 31, 8 am. – 8 pm, (CST) seven days a week or April 1 – September 30, 8 am – 8 pm (CST), Monday through Friday.