Did you know that if you’re unhappy with your medical care, there are ways to let us know? You have the right to get high-quality care, and if you think you haven’t, you can file a complaint. If you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or Medicare Prescription Drug Plan, you can file an appeal.
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
If you file a complaint with your plan and still need help, call 1-800-MEDICARE.
For other kinds of Medicare-related complaints, you can call your State Health Insurance Assistance Program (SHIP) for free, personalized help.
And, 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.
Remember, quality care is your right—if you’re not getting it, you can complain and be heard.