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How do I file a complaint (grievance)?

You can file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. How you file a complaint depends on what your complaint is about.

You have a complaint about:

What's the difference between a complaint and an appeal?

A grievance is a complaint about the way your Medicare health plan or Medicare drug plan is giving care. For example, you may file a grievance if you have a problem calling the plan or if you're unhappy with the way a staff person at the plan has behaved towards you. However, if you have a complaint about a plan's refusal to cover a service, supply, or prescription, you file an appeal.

More about appeals

Need help filing a complaint?

Contact your State Health Insurance Assistance Program (SHIP) for free, personalized help.

Note

For questions about a specific service you got, look at your Medicare Summary Notice (MSN) or login to MyMedicare.gov. If you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan, you can file an appeal.