A Medicare grievance is a formal complaint about the quality of care or services you received from a Medicare Advantage or Part D plan. A grievance is different from an appeal — an appeal is about coverage decisions, while a grievance is about the quality of care or service. Plans must respond to grievances within 30 days.
Key Points
- Grievance: formal complaint about quality of care or service
- Different from an appeal: appeal is about coverage decisions
- Plans must respond to grievances within 30 days
- File a grievance if you are unhappy with the quality of care or service
- Contact your plan's member services to file a grievance