Resources & Forms

Resources to help you better understand and use your health plan and Anthem's online tools.

Forms

View and download commonly used forms.

How to File a Grievance or Appeal

If you would prefer to send a written complaint you can mail or fax it using the information below. Please include your preferred contact information so that we can reach out to you with additional questions if needed.

Grievances and Appeals

Church Street Station

New York, NY 10008-1407

Press or say "Option 2" for information or to initiate an appeal. Representatives are available M–F, 8 a.m. to 5 p.m. Eastern Time.

Appeals

If you'd like an update on your issue or information on the aggregate number of grievances, appeals, and exceptions filed, please call 877-7-NYSHIP (877-769-7447) and press or say "Option 2" for the Hospital Program.

Legal Disclosure

Not connected with or endorsed by the U.S. Government or the federal Medicare program.


The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.


This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, please contact your agent or the health plan.

Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711).

注意:如 果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語 障用戶請致電:711)。

ADV_21_100557_MU_0012

@ 2024 Anthem. Services provided by Anthem HealthChoice HMO, Inc., and/or Anthem HealthChoice Assurance, Inc., Independent licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State.

Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc.