How do I file a grievance or appeal about my Tufts Medicare Preferred HMO plan?
You, your physician or your appointed representative (find the Authorization of Representative form here) may file a grievance or appeal by calling Customer Relations at 1-800-701-9000 (TTY 1-800-208-9562) Representatives are available Monday - Friday, 8:00 a.m. - 8:00 p.m. (Representatives are available 7 days a week, 8:00 a.m. - 8:00 p.m. from Oct 1 - Feb 14). After hours and on holidays, please leave a message and a representative will return your call the next business day, or by writing to:
Attn: Appeals & Grievance Department
Tufts Health Plan Medicare Preferred
705 Mt. Auburn Street
Watertown, MA 02472
Or by fax to: 1-617-972-9405 or 1-617-972-9487.
Learn more about filing an appeal or coverage determination in Chapter 9, section 1-9 and a grievance in Chapter 9, section 10 of your EOC (Chapter 7 for HMO No Rx Plans).