File a grievance

How to file a grievance

Grievances are complaints about service. You can file a grievance with PriorityMedicare^SMwhen you have a problem with us or with our network of doctors, hospitals, pharmacies, or other health care providers. For example, you would file a grievance if you have a problem with the length of time it takes to get a prescription filled at a pharmacy, or if your doctor's office is unclean.

Grievances do not apply to what drugs and services your plan covers or does not cover. Go to instructions for asking for exceptions to coverage.

Call Customer Service first

• We will try to resolve any complaint that you might have over the phone.
• If you ask for a written answer to your phone complaint, we will answer you in writing.
• If we can't settle or fix your complaint over the phone, we have a formal way to answer your complaint. It is called the PriorityMedicare Grievance Procedure. Mail us a letter explaining what your complaint is. Mail it to:

PriorityMedicare Service Coordinator
1231 East Beltline NE
MS 1165
Grand Rapids, MI 49525

You can also deliver it in person, or fax it to us at 616 975-8880 or 942-0995, or call Customer Service for help.

Details about your plan

To better understand the services you are entitled to under your PriorityMedicare plan, you can refer to your plan's Evidence of Coverage booklet. Links are provided below.

• Evidence of Coverage for PriorityMedicare Value^SM plan, (715KB PDF)
• Evidence of Coverage for PriorityMedicare^SM plan, (754KB PDF)
• Evidence of Coverage for PriorityMedicare Plus^SM plan, (711KB PDF)
• Evidence of Coverage for PriorityMedicare Rx^SM plan, (506KB PDF)
  

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