North RegionConnecticut, Delaware, the District of Columbia, Illinois, Indiana, Iowa (Rock Island area), Kentucky (except Fort Campbell), Maine, Maryland, Massachusetts, Michigan, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, and Wisconsin. |
Mail or fax your Grievance Form to Health Net:
Health Net Federal Services, LLC
Attn: Grievances
P.O. Box 2399
Virginia Beach, VA 23450-2399
Fax: 1-888-317-6155
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South RegionAlabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee, Texas (excluding El Paso area), and Fort Campbell, Kentucky |
Mail your complaint to Humana Military:
Regional Grievance Coordinator
Humana Military
8123 Datapoint Drive Suite 400
San Antonio, TX 78229
For behavioral health care concerns, send your complaints to:
Grievance Specialist
ValueOptions
P.O. Box 551188 Jacksonville, FL 32255-1188
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West RegionAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming. |
Mail or fax your Grievance Form to UnitedHealthcare:
UnitedHealthcare Military & Veterans
TRICARE West Region
Attn: Grievances
P.O. Box 105493
Atlanta, GA 30348-5493
Fax: 1-877-584-6628
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Overseas |
Mail or email your Universal Grievance and Complaint Form to International SOS:
International SOS Assistance, Inc.
Reconsideration/Grievance Department
P.O. Box 11570
Philadelphia, PA 19116 USA
Email: TOPGlobalQualityAssu@internationalsos.com
>>Learn More about the Overseas Grievance Process
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TRICARE For Life |
U.S. and U.S. Territories:
Mail your complaint to Wisconsin Physicians Service:
WPS-TRICARE For Life
Grievances
P.O. Box 8974
Madison, WI 53708-8974
All Other Overseas Areas:
Mail or email the Universal Grievance and Complaint Form to International SOS:
International SOS Assistance, Inc.
Reconsideration/Grievances Department
P.O. Box 11570
Philadelphia, PA 19116 USA
Email: TOPGlobalQualityAssu@internationalsos.com
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Pharmacy |
If you have a complaint about pharmacy provider, send it to Express Scripts by either:
- Calling 1-877-363-1303
- Email: DOD.customer.relations@express-scripts.com
- Mail a letter to:
Express Scripts, Inc.
P.O. Box 52150
Phoenix, AZ 85072-2150
If you have a complaint about home delivery or other services provided by Express Scripts, send a written complaint to:
Defense Health Agency
Pharmaceutical Operations Directorate
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
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Active Duty Dental Program |
Mail or fax the Grievance Form to United Concordia:
United Concordia
ADDP Grievances
4401 Deer Path Road, DP-4J
Harrisburg, PA 171110-3907
Fax: 1-717-260-7168
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TRICARE Dental Program |
Submit your complaint online:
Or, you can mail or fax your complaint to:
MetLife TRICARE Dental Program Quality of Care
Grievances
P.O. Box 14184
Lexington, KY 40512
Fax: 1-855-763-1336
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TRICARE Retiree Dental Program |
Mail your complaint in writing to Delta Dental. List the following information on the reverse side of the Patient Grievance Form:
- Your complaint
- Requested outcome
- Any additional records, documents or billing information to support the grievance.
Delta Dental of California
Federal Services Division
P.O. Box 537015
Sacramento, CA 95853-7015
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