Resources

Learn more about Medicare and find additional resources here.


How does Medicare work?

View information about the Medicare program, including coverage options, eligibility, enrollment, costs and benefits.

Medicare Made Clear  


How do I file an appeal or grievance?

Get a detailed overview of the Appeals and Grievance process.

Medical appeals and grievances 

Drug coverage appeals and grievances


How do I report fraud or abuse?

Find out how to identify fraud and abuse and learn steps you can take to prevent and report it.

Report fraud and abuse

 

What is the Medicare Prescription Payment Plan? (Effective 1/1/25)

The Medicare Prescription Payment Plan: If you spend more than $2,000 for prescription drugs each year, you may want to participate in the Medicare Prescription Payment Plan. This payment plan spreads your out-of-pocket prescription drug costs over the remainder of the calendar year.

Forms and resources


Direct member reimbursement form