2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Complete (PPO) Chapter 2: Important phone numbers and resources 14 Method Coverage Decisions for Part D Prescription Drugs – Contact Information Calls to this number are free. Hours of Operation: 8 a.m.-8 p.m. local time, Monday-Friday Fax 1-844-403-1028 Write OptumRx Prior Authorization Department P.O. Box 25183, Santa Ana, CA 92799 Website retiree.uhc.com/wapebb Method Appeals for Part D Prescription Drugs – Contact Information Call 1-855-873-3268 Calls to this number are free. Hours of Operation: 8 a.m.-8 p.m. local time, Monday-Friday For fast/expedited appeals for Part D prescription drugs: 1-855-873-3268 Calls to this number are free. Hours of Operation: 8 a.m.-8 p.m. local time, Monday-Friday TTY 711 Calls to this number are free. Hours of Operation: 8 a.m.-8 p.m. local time, Monday-Friday Fax For standard Part D prescription drug appeals: 1-866-308-6294 For fast/expedited Part D prescription drug appeals: 1-866-308-6296 Write UnitedHealthcare Part D Appeal and Grievance Department P.O. Box 6106, MS CA124-0197, Cypress, CA 90630-0016 Website retiree.uhc.com/wapebb How to contact us when you are making a complaint about your medical care You can make a complaint about us or one of our network providers, or pharmacies, including a complaint about the quality of your care. This type of complaint does not involve coverage or payment disputes. For more information on making a complaint about your medical care, see Chapter 9 (What to do if you have a problem or complaint (coverage decisions, appeals, complaints)).

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