You have the right to appeal a decision on benefits. For active and Pre-Medicare retirees, please refer to your Summary Plan Description (SPD) for the process to do this. You can call your Care Navigators at 1-866-871-0964. They will be happy to assist you! Also, note the following contact information for appeals:

Quantum Health -Appeals Department 

5240 Blazer Parkway

Dublin, OH 43017

Fax: 1-877-498-3681

Retiree members must access their Aetna account. Under Coverage & Benefits, select Policies, Procedures and Forms. Slide over to File Claims & Reimbursements and follow the page to External Appeal & Grievances.