Part D Plans

Part D Plans

The Part D Qualified Independent Contractor (QIC) is responsible for conducting reconsiderations of adverse coverage determinations and adverse redeterminations for covered drug benefits or review of an At-Risk Determination made by Part D plans [stand-alone prescription drug plans (PDPs), Medicare Advantage Prescription Drug Plans (MA-PDs), and cost plans that offer qualified prescription drug coverage] including the amount of cost sharing, if any, that the enrollee is required to pay for a drug.

The Part D QIC’s workload shall also include conducting reconsiderations of adverse determinations related to prior creditable prescription drug coverage/imposition of a late enrollment penalty (LEP) under the Medicare Part D program.

Drug Benefit Reconsideration and DMP At-Risk Appeals

United States Postal Service (USPS):

C2C Innovative Solutions, Inc.
Part D Drug Reconsiderations
P.O. Box 44166
Jacksonville, FL 32231-4166

UPS / FedEx ONLY:

C2C Innovative Solutions, Inc.
Part D Drug Reconsiderations
301 W. Bay St., Suite 600
Jacksonville, FL 32202
Telephone for Part D Plans (904) 394-4700
Fax for Part D Plan Expedited Appeals (904) 539-4093
Fax for Part D Plan Standard Appeals (904) 539-4097
Fax for Part D Plan Auto-Forwarded Appeals (904) 539-4099
Fax for Part D Plan Drug Effectuations (904) 539-4101

LEP Reconsideration Appeals

United States Postal Service (USPS):

C2C Innovative Solutions, Inc.
Part D LEP Reconsiderations
P.O. Box 44165
Jacksonville, FL 32231-4165

UPS / FedEx ONLY:

C2C Innovative Solutions, Inc.
Part D LEP Reconsiderations
301 W. Bay St., Suite 600
Jacksonville, FL 32202
Telephone for Part D Plans (904) 394-4700
Fax for Part D Plans (904) 539-4072

C2C Part D QIC Plan Liaison:

Emily Barnes or Amber Smith MedicarePartDAppeals@C2Cinc.com (904) 394-4700 (Phone)