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Blue Advantage® Member Appeals and Grievances

Blue Advantage members have the right to have grievances and appeals determined pursuant to procedures described in 42 CFR § 422.562 et. seq. so they may have timely reconsiderations and resolutions in the event of disputes regarding determinations made by Blue Cross and Blue Shield of Alabama. Each member is provided with information describing these rights upon enrollment. In addition, any participating Blue Advantage provider or other provider, whether participating or not, may request a determination to verify that a member is entitled to certain benefits under Blue Advantage .

Blue Advantage is a Medicare-approved PPO Plan.

Last Updated Janurary 2014