If you don’t think you’re getting high-quality care, you have the right to file a complaint.
When you’re unhappy with the quality of your health care, it’s often useful to talk about your concerns with whoever gave you the care. But, if you don’t want to talk to that person or need more help, you can file a complaint.
How you file a complaint depends on what or who it’s about. Each health or drug plan has its own rules for filing complaints, so check out the pages below depending on what type of complaint you have:
- A Medicare doctor, hospital, or provider
- Your health or drug plan
- The quality of your care
- Your dialysis or kidney transplant care
- Durable medical equipment
Once you file a complaint with your plan, if you still need help, call 1-800-MEDICARE.
If you’ve contacted 1-800-MEDICARE about a Medicare complaint and still need help, ask the 1-800-MEDICARE representative to send your complaint to the Medicare Beneficiary Ombudsman. The Ombudsman staff helps make sure your complaint is resolved.
You can also let us know if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or Medicare Prescription Drug Plan by filing an appeal.
For other kinds of Medicare-related complaints, you can call your State Health Insurance Assistance Program (SHIP) for free, personalized help.
Know that you have the right to get quality care. Also know you have the right to complain if you don’t.