We hope every healthcare experience you have is a positive one. That’s why we offer you a variety of tools to express your concerns. One of those tools is the ability to file a complaint (sometimes called a “grievance”).
Do you have a complaint?
If you have a concern or a problem that isn’t a request for coverage or reimbursement, you have the right to file a complaint. Not sure if you need to file a complaint or an appeal? Read some examples of situations where you might need to file a complaint.
Things to know before you file a complaint:
Each plan has specific rules you’ll need to know and follow when filing a complaint. If, after filing a complaint, your plan doesn’t address the issue, call 1-800-MEDICARE for assistance. You can also call your State Health Insurance Assistance Program (SHIP) for free, personalized help filing a complaint.
Information you’ll need to have ready when you file a complaint:
Basic information about you
- First and last name
- Date of birth
- State you live in
- Zip code
- Email address
- Preferred call back time, phone number, and response language
Medicare card information
- Medicare number
- Effective date
Health or drug plan information
- Your health or drug plan name
- Your health or drug plan contract ID
- Prescription drugs
- Something else
Medicare’s Blue Button can help
The Blue Button provides you an easy way to download your personal health information to a file. You can download the file of your personal data and save the file on your own personal computer. You can access the Blue Button through your account on MyMedicare.gov.