Grievances and Appeals

If you disagree with a decision about your coverage, you have the right to file a grievance or appeal.

What is a Grievance?

A grievance is a complaint about the quality of care or service you received, or how you were treated.

What is an Appeal?

An appeal is a request to review a decision that denied, reduced, or terminated your services.

How to File

• Contact your health plan directly
• Submit a written grievance or appeal form
• Request a fair hearing if needed