Medicaid Grievances & Appeals in Virginia

Let us know if we missed the mark

You may want to file a grievance if:

You're not satisfied with the Anthem HealthKeepers Plus plan for any reason.

You’ve had a problem with the quality of care you’ve received from our services or network providers.

You’ve had difficulty getting access to care.

You feel your rights and dignity have been disrespected.

You have experienced rude behavior from a provider or an Anthem HealthKeepers Plus associate.

To appoint a representative to act on your behalf, please provide your written consent. Your representative can be a friend or family member, your doctor, or an attorney.

Directly submit a grievance by logging into the secure member portal or the Sydney Health mobile app. You can find Grievances under the Support tab. You can also submit a grievance by phone at 800-901-0020 (TTY 711) or by fax at 855-832-7294. Please send your written request by mail to:

Grievance and Appeals Department

HealthKeepers, Inc.

P.O. Box 62429

Virginia Beach, VA 23464

You can appeal within 60 days if your service gets denied

If we deny, reduce, or end treatment or services, we’ll send you a Notice of Adverse Determination. It will:

Explain why we won't pay for the care or services requested by your provider.

Tell you about your right to appeal our decision.

You, or your approved representative, can appeal the decision.

Directly submit an appeal by logging into the secure member portal or the Sydney Health mobile app. You can find Appeals under the Support tab. You can also submit an appeal by phone at 800-901-0020 (TTY 711) or by fax at 855-832-7294. Please send your written request by mail to:

Grievance and Appeals Department

HealthKeepers, Inc.

P.O. Box 62429

Virginia Beach, VA 23464