As a member of Granite Alliance you have the right to:
Be treated with respect and recognition of your dignity and have the right to privacy
Receive a listing of all Granite Alliance participating pharmacies
Submit a question or complaint to Granite Alliance, without fear of discrimination or repercussion
Receive information on plan related policies and procedures
Receive timely responses to your requests regarding your prescription drug coverage
For more details about your rights, please review Chapter 5 of your Evidence of Coverage.
We must provide information in a way that works for you (in languages other than English, braille, large print, or other alternative formats). Granite Alliance offers free language interpreter services to answer questions, and we will also provide information to you in alternative formats at no cost. To get information from us in a way that works for you, please contact our Member Services and we'd be happy to assist you.
Granite Alliance must obey laws that protect you from discrimination or unfair treatment. We do not discriminate based on a person’s race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability, or geographic location within the service area.
You have the right to get your prescriptions filled or refilled at any of the network pharmacies without long delays. If you think that you are not getting your covered drugs within a reasonable amount of time, you can contact Granite Alliance Member Services for personal help.
Federal and state laws protect the privacy of your medical records and personal health information. We protect your personal health information as required by these laws.
You have the right to look at your medical records held at Granite Alliance, and to get a copy of your records. We are allowed to charge you a fee for making copies. You also have the right to ask us to make additions or corrections to your medical records. If you ask us to do this, we will work with your healthcare provider to decide whether the changes should be made. You have the right to know how your health information has been shared with others for any purposes that are not routine.
You have the right to get several kinds of information from us. If you want any of the following kinds of information, please call Granite Alliance Member Services.
If you believe you have been treated unfairly or your rights have not been respected due to your race, disability, religion, sex, health, ethnicity, creed (beliefs), age, or national origin, you should call the Department of Health and Human Services’ Office for Civil Rights at 800-368-1019 or TTY 800-537-7697, or call your local Office for Civil Rights.
If you believe you have been treated unfairly or your rights have not been respected, and it’s not about discrimination, you can get help dealing with the problem you are having by calling:
As a member of Granite Alliance you also have responsibilities:
Be familiar with your covered drugs and the rules you must follow to get these covered drugs.
If you have any other prescription drug coverage in addition to Granite Alliance, you are required to tell us.
Tell your pharmacist to bill Granite Alliance.
Help your doctors and other providers help you by giving them information, asking questions, and following through on your care.
Pay what you owe.
Tell us if you move.
For more details about your Responsibilities, please review Chapter 5 of your Evidence of Coverage.
Granite Alliance is an Employer Group Waiver Plan, which means you will be enrolled in the coverage directly by your employer. Generally you qualify for Granite Alliance benefits once you have retired. In addition, you also must have Medicare Part A or Part B in order to qualify for the Medicare Part D benefits through Granite Alliance.
For more information about enrolling into Granite Alliance, please contact your employer directly. You can also review Chapter 7 of the Evidence of Coverage for information about Medicare Part D eligibility requirements.
If you are already enrolled, and no longer wish to be covered by Granite Alliance, you may voluntarily end your plan enrollment. Since Granite Alliance is offered by your employer, you may lose other benefits (such as medical) if you choose to disenroll. We recommend speaking directly with your employer for options before electing to disenroll.
There are only certain times of the year, or certain situations, when you may voluntarily end your membership in the prescription drug plan. You may end your membership during the Annual Enrollment Period which occurs every November 1 through November 30 or during a Special Enrollment Period. To find out if you are eligible for a Special Enrollment Period, please call Medicare at 800-MEDICARE (800-633-4227), 24 hours a day, 7 days a week. TTY users call 877-486-2048.
In addition, there is the potential for Granite Alliance to terminate our contract with Medicare. Our plan is required to notify our members that it is authorized by law to refuse to renew its contract with the Centers for Medicare & Medicaid Services (CMS), that CMS also may refuse to renew the contract, and that termination or non-renewal may result in termination of your enrollment. In addition, the plan may reduce its service area and no longer offer services in the area where you reside. In the event this happens, you will receive advance notice.
Last Updated Date: 11/18/2023
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