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SECTION 1 Introduction......................................................................................158 SECTION 2 Where to get more information and personalized assistance.................158 SECTION 3 To deal with your problem, which process should you use?..................159 SECTION 4 A guide to the basics of coverage decisions and appeals...................... 159 SECTION 5 Your medical care: How to ask for a coverage decision or make an appeal ............................................................................................................................. 162 SECTION 6 Your Part D prescription drugs: How to ask for a coverage decision or make an appeal...................................................................................................... 169 SECTION 7 How to ask us to cover a longer inpatient hospital stay if you think you are being discharged to soon.........................................................................................177 SECTION 8 How to ask us to keep covering certain medical services if you think your coverage is ending too soon.................................................................................... 183 SECTION 9 Taking your appeal to Level 3 and beyond.......................................... 189 SECTION 10 How to make a complaint about quality of care, waiting times, customer service, or other concerns....................................................................................... 191

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