File a complaint with the Health Care Section

The Proper Steps to Take - Before Filing a Complaint Below

If your health plan is a "managed care plan", you may have certain rights under Act 68.  

Please Read Carefully
Filing a complaint with the Attorney General may not preserve your appeal rights, pursuant to ACT 68 or Medicare. To preserve your rights, you must file a complaint or grievance appeal directly with your health plan or in conformance with the terms of your coverage. The Office of Attorney General does not give legal advice.

If you have a problem with your HMO or Point of Service plan, you should "Take the Proper Steps", as follows:

• Call your managed care plan member services department. Always call your managed care plan member services department first. Give them a chance to solve the problem. Many problems are solved at this level in an informal manner.
• File a formal complaint or grievance with your plan. If your phone call to the plan does not solve your problem, call the plan again and tell them that you want to file either a formal complaint or a formal grievance.
• File a complaint with the Attorney General's Health Care Section.

WE CAN HELP!
The first option is an online form, which allows you to complete the form and submit it to our office online. The second option, the PDF form, allows you to print and complete the form and mail it along with any attachments to our office at the following address:

You can contact the Health Care Section at 1-717-705-6938 on weekdays from 8:30 AM until 5:00 PM, or Contact Us. The Unit also has a toll-free line, 1-877-888-4877, which operates within Pennsylvania on weekdays between the hours of 10:00 AM and 3:00 PM.