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Grievances

Understanding Grievances (Complaints)

You have the right to file a grievance (complaint) with us if you have any type of problem with us or one of our network providers, including a complaint about the quality of your care.  You also have the right to file a grievance with the Beneficiary and Family Centered Care Quality Improvement Organization (Also known as BFCC-QIO) for the State of Connecticut. Please refer to the Evidence of Coverage (EOC) for the BFCC-QIO contact information.

Send the written request for a standard or expedited grievance no later than 60 calendar days after the grievance incident.  You must include the following:

  • First name, last name, address, phone number, date of birth, and ConnectiCare ID number.

  • Reason why you are filing a grievance.

  • Your signature, or if someone is acting on your behalf, a completed Appointment of Representative Form CMS-1696 or a written equivalent.

You should send any supporting documentation that you believe may help your case, including medical records, with your grievance. 

Grievances

Call
1-800-224-2273
Calls to this number are free.
Hours of operation: 8:00a.m. - 8:00 p.m., seven days a week.

TTY
1-800-842-9710
This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking.
Calls to this number are free.
Hours of operation: 8:00 a.m. - 8:00 p.m., seven days a week.

Fax
1-800-867-6674

Write
ConnectiCare
Medicare Appeals and Grievances
P.O. Box 4010
Farmington, CT 06034
Attention: Medicare Appeals Department

How can I obtain information about an aggregate number of grievances, appeals, and exceptions filed with ConnectiCare?


If you want information about the aggregate number of grievances, appeals, and exceptions filed with ConnectiCare, you may contact Member Services to request a report. 

You can submit a complaint directly to Medicare. To submit an online complaint to Medicare, go to MedicareComplaintForm




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Last Update 11/26/2018

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