Complaints, Grievances and Appeals
How to file a complaint, grievance or appeal
You have the right to file a complaint, grievance or appeal about:
- Innovation Health
- Your plan
- A health care service, provider or professional
Get help from Innovation Health
Call the number on the back of your member ID card.
You may mail or fax your information by printing the following form:
Get help from your state
Your state insurance office can help you if you don’t agree with a decision made by your health plan or if you decide to appeal a decision.
- Choose the state you live in if your medical plan is self-funded.
- Choose the contract state if your medical plan is insured.
If you are not sure, ask your employer or call the toll-free number on the back of your medical plan ID card to find out which type of plan you have.
Get help from the federal government
The Health Care Reform law includes rules about appeals. Many plans have to follow these rules. If your plan is covered by the law*, you can contact the Employee Benefits Security Administration for help at 1-866-444-EBSA (3272).
Living outside the United States?
You may have a medical plan that covers you or your family while you’re living outside the United States. If it's subject to the U.S. Health Care Reform law, choose the state where the plan sponsor has its main place of business. Call the toll-free number on the back of your medical plan ID card if you're not sure.