Appeals and Grievances

Instructions for how to submit a formal grievance or appeal:

If you want to submit an appeal or formal grievance to WellSense over the telephone, please call Member Services at 1-877-957-1300 or 711 (TTY/TDD). Appeals must be filed within 60 calendar days of the date on your initial denial notice. If you want to submit an appeal or formal grievance in writing, you can fax it to 1-617-897-0805 or mail it to:

WellSense Health Plan
Attn: Member Appeals and Grievances
529 Main Street, Suite 500
Charlestown, MA 02129