We hope that all of your health care experiences are positive. But if they’re not, we want filing a complaint to be as easy as possible. 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”).
Is your concern a complaint or an appeal?
A complaint is different than an appeal. A complaint is about the way your Medicare health plan, Medicare drug plan, or health provider is giving care. Examples of complaints are problems with:
A doctor, hospital, or provider
Your health or drug plan
Quality of your care
Your dialysis or kidney transplant care
Durable medical equipment