Skip to main content

Who May Make a Request

Your prescriber may ask us for an appeal on your behalf. If you want another individual (such as a family member or friend) to request an appeal for you, that individual must be your representative. Contact us to learn how to name a representative.

Because we, WellCare, denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for redetermination (appeal) of our decision. You have 60 days from the date of our Notice of Denial of Medicare Prescription Drug Coverage to ask us for a redetermination. This form may be sent to us by mail or fax:

Address

Fax Number 

TexanPlus

P.O. Box 31383

Tampa, FL 33631

1-855-840-7315

Expedited appeal requests can be made by phone at:

Health Plan

Phone Number 

TexanPlus HMO (Houston/ Beaumont)

TexanPlus HMO (Dallas/ Ft. Worth)

TexanPlus HMO-POS

TexanPlus HMO-SNP



1-866-230-2513

1-800-958-2707

1-866-230-2513

1-844-879-4367

Enrollee's Information ?

Enrollee's Contact Information

Requestor's Contact Information ?

Prescription Drug Information

?

Prescriber's Information

Print Form
contact-us

Need help? We're here for you.

Contact Us
Last Updated On: 1/1/2018