Resources / Materials
Certain prescription drugs that require prior authorization may be covered under Medicare Part B or D. Information may need to be submitted telling us the use and setting of the drug to make the decision.
2017 Request for Medicare Prescription Drug Coverage Determination (You cannot use this form for Medicare non-covered drugs: fertility drugs, drugs prescribed for weight loss, weight gain or hair growth, over the counter drugs, or prescription vitamins (except prenatal vitamins and fluoride preparations).
Healthy Moves Member Newsletters
Healthy Moves is written with you in mind, to share important health information. You can find tips and timely topics to help you start or maintain your health. See below to get the newsletter in PDF for download.
- Plan Benefit Mailer...Coming Soon...
- Plan Benefit Flyer...Coming Soon...
- Mileage Reimbursement Instructions
- Mileage Reimbursement Form
Please note: By clicking on these links you will be leaving the Fidelis SecureLife (MMP) website.
The Office of the Medicare Ombudsman (OMO)
You can contact the MI Health Link Ombudsman toll free at 1-888-746-6456 Monday through Friday 8 a.m. to 5 p.m. or email help@MHLO.org . For more information visit http://mhlo.org/
To file a complaint (also called a “grievance”) with Medicare, go to: http://www.medicare.gov/claims-and-appeals/file-a-complaint/complaint.html
Last Updated: 03/14/17