Appeals / Concerns

Appeal Form for Medical Plan Network Out-of-Area Eligibility

OSU Health Plan members may appeal to be considered for the Out-of-Area medical plan or specialty care eligibility if they believe their ZIP code does not meet the established standards for the statewide network or if they require specialty care that is not available within their area.

To file an appeal, print the Appeal Form for Medical Plan Network Out-of-Area Eligibility. The completed form may be faxed or mailed to Ohio State University Health Plan Inc. (the "Medical Plan") according to instructions on the bottom of the form.

Member Concern Record

OSU Health Plan members are entitled to express concern or dissatisfaction with the quality of care, quality of service or administrative process they experience by a provider on the Ohio State University Health Plan network, an OSU Health Plan or human resources representative or one of the health plan’s vendors.

To file a concern, print the Member Concern Form. The completed form may be faxed or mailed to OSU Health Plan according to instructions on the bottom of the form. Or, you may contact an OSU Health Plan customer service representative at (614) 292-4700 or (800) 678-6269.