You can file a complaint if you have concerns 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 can file a complaint about:
- A doctor, hospital, or provider
- Your health or drug plan
- Quality of your care
- Your dialysis or kidney transplant care
- Durable medical equipment
What's the difference between a complaint and an appeal?
A complaint is about the quality of care you got or are getting. For example, you may file a complaint for one of these:
- You have a problem calling the plan.
- You're unhappy with how a staff person at the plan has treated you.
You file an appeal if you have an issue with a plan's refusal to cover a service, supply, or prescription. Learn 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 log into MyMedicare.gov. You can file an appeal if you disagree with a coverage or payment decision made by one of these:
- Medicare
- Your Medicare health plan
- Your Medicare Prescription Drug Plan