Complaints and Appeals
If you have a complaint, dispute or level of dissatisfaction with Pharmacy Benefit Dimensions or one of our affiliated providers, or if you disagree with a coverage decision we have made, you will find assistance here.
Complaints
If you have a grievance, which is any complaint, dispute or level of dissatisfaction you may have with Pharmacy Benefit Dimensions or one of our affiliated providers you may:
Print and fill out the Member Complaint Form and mail, email or fax it to:
Pharmacy Benefit Dimensions
Benefit Administration
511 Farber Lakes Drive
Buffalo, NY 14221
Email: pbdmedicareservicing@pbdrx.com
Fax: (716) 580-5264
Call Member Services at (716) 504-4444 or 1-800-667-5936 (TTY users call 711)
October 1 – March 31: Monday – Sunday, 8 a.m. – 8 p.m. EST
April 1 – September 30: Monday – Friday 8 a.m. – 8 p.m. EST
You may also file a complaint directly with Medicare.
Appeals
An appeal is the type of complaint you make if you disagree with a coverage decision we have made.
To appeal, complete the Member Complaint Form within 65 days of the initial coverage decision and mail or fax it to:
Pharmacy Benefit Dimensions
Benefit Administration
511 Farber Lakes Drive
Buffalo, NY 14221
Fax: (716) 580-5264
Or
Call Member Services at (716) 504-4444 or 1-800-667-5936 (TTY users call 711)
October 1 – March 31: Monday – Sunday, 8 a.m. – 8 p.m. EST
April 1 – September 30: Monday – Friday 8 a.m. – 8 p.m. EST
If you need someone else to file an appeal on your behalf, you will need to fill out an Appointment of Representative Form or provide appropriate legal papers supporting your status as the member’s authorized representative.
Mail, email or fax us this completed form along with the Member Appeal/Complaint Form.
To learn more about how Independent Health manages complaints and appeals, review the Appeals and Quality of Care Complaints Information.
For more information on complaints and appeals please refer to your Evidence of Coverage (EOC) for your Prescription Drug plan.
Pharmacy Benefit Dimensions is a subsidiary of Independent Health. Independent Health is a PDP with a Medicare contract. Enrollment in Pharmacy Benefit Dimensions PDP depends on contract renewal between Independent Health and CMS.
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Last Updated 12/30/2024