How do I file a Medicare complaint (grievance)?

Should you find yourself dissatisfied with the caliber of care or additional services provided by a Medicare affiliate, you have the right to submit a grievance. The process for submitting grievances varies based on the particular issue at hand.

You might want to submit a grievance regarding several matters:
– Medical providers, healthcare facilities, or physicians
– The relationship between yourself and your health insurance arrangement
– The standard of healthcare delivery
– The treatment obtained for renal dialysis or kidney transplant procedures
– Medical equipment that is intended for long-term use

Should you require assistance when submitting a grievance, reach out to your State Health Insurance Assistance Program (SHIP) for complimentary, individualized support.

What’s the distinction between a grievance and an appeal?
Grievances concern the caliber of care you’ve obtained or are currently receiving. If you encounter difficulties getting in touch with your plan or if you’re displeased with the manner in which the plan representatives have interacted with you, you have the option to submit a grievance.