1-844-212-9858 (TOLL FREE) 711 (TTY)

Appointment of Representative

If you are not able to personally conduct a complaint or appeal, you can designate a representative to carry out your efforts.

In the event of not being able to conduct the complaint or appeal you may designate a representative to carry out these efforts. To appoint someone to stand for you, you and your representative must both complete the Appointment of Representative (AOR) form below. This document is valid for one year from the date it was submitted to the healthcare plan. Once you complete the AOR:

  • send it by mail to:
    MMM Medicare and Much More
    P.O. Box 260430
    Miami, FL  33126
  • or bring it in person to our offices located at:
    MMM Medicare and Much More
    5775 Blue Lagoon Drive
    Suite 450
    Miami, FL
Appointment of Representation FormDownload
1-844-212-9858 (Toll free)
711 (TTY)
5775 Blue Lagoon Drive
Suite 450
Miami, FL 33126
Contact Us »
Hours of Operation:
Monday-Friday
8:00am - 8:00pm

MMM of Florida, Inc. is an HMO plan with a Medicare contract. Enrollment in MMM of Florida, Inc. depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. MMM of Florida, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MMM of Florida Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-212-9858 (TTY: 711). MMM of Florida Inc. konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-212-9858 (TTY: 711).

 

Updated: October 2020

H3293_2020 4006 0001 1