Complaint and Appeal Procedures
Service Complaints
If you are not receiving services in a satisfactory manner from any of the plans available through MCHCP, contact the plan’s customer service department. Examples of unsatisfactory service include not receiving an ID card from the health plan or being charged more than the required copayment amount.
If the problem is not resolved to your satisfaction, contact MCHCP. If you are enrolled in a fully-insured plan, you may contact the Department of Insurance, Financial Institutions & Professional Registration (DIFP) at any time.
| Self-Insured Plans | |
|---|---|
| UMR PO Box 8086 Wausau, WI 54402-8086 |
DIFP has no regulatory authority over self-insured plans Send all Administrative Appeals to MCHCP |
| Fully-Insured Plans | |
| Mercy Health Plans 4520 South National Avenue Springfield, MO 65810 |
Send Service Complaints and Denied Health Service Appeals to: Missouri Department of Insurance, Financial Institutions & Professional Registration (DIFP) PO Box 690 Jefferson City, MO 65102 800-726-7390 www.insurance.mo.gov Send all Administrative Appeals to MCHCP |
| Delta Dental First level review Attn: Customer Service Second level review Attn: Appeals Committee 12399 Gravois Rd St. Louis, MO 63127-1702 |
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| Vision Service Plan PO Box 997105 Sacramento, CA 95899-7105 |
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