Filing a complaint on Medicare supplement plans is possible in case you find the quality of services or care you are receiving or is given to your loved one has concerns. If you wish to raise concerns, you need to file a complaint on the Medicare provider, but this depends on your complaint type.
Filing a complaint on Medicare supplement plans provider may include:
- A hospital, a doctor or provider
- Quality of care
- Durable medical equipment
- Kidney transplant care or dialysis
- Drug or health plan
Difference between an appeal and a complaint
A complaint refers to the quality of care you are receiving or you received. For instance, you can file a complaint in case you have issue in calling the plan or even in case you are not happy with the staff person the way you were treated. Nevertheless, in case there is an issue to cover a supply, service or prescription, you may also file for an appeal.
The complaints regarding quality of care can include:
- Drug errors complaints
- Inappropriate or unnecessary surgery complaints
- Inappropriate or unnecessary treatment complaints
- Receiving treatment after change of condition complaint
- Health or drug plan complaint
- Customer service complaint
- Access to specialists complaint
- Getting discharged too soon complaint
- Incomplete instructions on discharge complaint
- Unsafe conditions or improper care complaint
- Hospital conditions complaint
- About doctor complaint
- Home health agencies complaint
- Kidney care complaints
Filing a complaint is possible even if you wish to complain about Part D the plans of Medicare prescription drug. However, to complain, here are few things to follow:
- There is a need that you file from the event date within 60 days as complaint.
- Complaint can be done by giving your complaint in writing or even over the phone.
- Generally, there is a rule to be notified of this decision in a period time of 30 days as the plan receives complaint.
- In case it relates to a refusal of the plan, for determination or redetermination as fast coverage that you have not received the drug or have not purchased the drug, the plan must provide a decision within a time frame of 24 hours on receiving the complaint.