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Thank You for being a Member of Simpra Advantage

Member Resources provides you with the tools, information and resources to help you get the most out of your Simpra Advantage (PPO I-SNP), Simpra Advantage Premier (PPO I-SNP), or Simpra Advantage (PPO D-SNP) benefits and coverage and much more.

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Out of Network Coverage Rules

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How to File an Organization Determination

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How to File an Appeal

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How to File a Grievance

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How to Obtain an Aggregate Number of Appeals, Grievances and Exceptions

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How to Appoint a Representative to File a Grievance or Complaint

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How to End Your Simpra Advantage Benefits

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Member Materials

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Can’t find what you are looking for or need to check the status of your request?

For more information, please call us at:

Simpra Advantage
1-844-637-4770 (TTY 711)

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