Health First Health Plans wants to make sure you get the care you need, and you understand how to get care under special circumstances.
Also, the Evidence of Coverage (EOC) includes more details about grievances, coverage determinations, appeals procedures, and exceptions in Chapter 9, and your rights and responsibilities upon diserollment are listed in Chapter 8.
How to appoint a representative
If you want to name someone (such as a relative, friend, advocate, doctor, lawyer, or anyone else) to handle appeals and grievances with us on your behalf, the person you name would be your appointed representative. You can use this form:
If you want to give someone permission to access your personal health information (for example claims, medical, or financial information) please use this form:
Please send your completed form(s) to us at:
Y0089_MP3537 Approved 11/06/2013
Last updated: 10/1/2013