If you believe your plan coverage has been, or will be, improperly cancelled, rescinded, or not renewed, you have the right to file a Request for Review. You have the options of going to both the plan and/or the Department if you do not agree with the plan decision to cancel, rescind or not renew your plan coverage.
Option 1: You may submit a Request for Review to Western Health Advantage.
- You may submit a Request for Review to WHA by calling 916.563.2206 or by mailing your written Request for Review to:
Western Health Advantage
2349 Gateway Oaks Drive, Ste. 100
Sacramento, CA 95833.
- You may want to submit your Request for Review to WHA first if you believe your cancellation, rescission or nonrenewal is the result of a mistake. Requests for Review should be submitted as soon as possible after you receive the Notice of Cancellation, Rescission, or Nonrenewal.
- WHA will resolve your Request for Review within three (3) days. If the plan upholds your cancellation, rescission or nonrenewal, it will immediately transmit your Request for Review to the Department of Managed Health Care and you will be notified of WHA’s decision and your right to also seek a further review of WHA’s decision by the Department as detailed under Option 2, below.
Option 2: You may submit a Request for Review to the Department of Managed Health Care.
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You may submit a Request for Review directly to the Department of Managed Health Care without first submitting it to the plan or after you have received WHA’s decision on your Request for Review.
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Requests for Review by the Department of Managed Health Care may be submitted to:
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Help Center
Department of Managed Health Care
980 Ninth Street, Suite 500
Sacramento, CA 95814-2725
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Phone: 888.HMO.2219
TDD: 877.688.9891
FAX: 916.255.5241
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www.HealthHelp.ca.gov
