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Grievances

To file a grievance, mail a written complaint to the appropriate contractor (see below) and include the following:

  • Your name, address and telephone number
  • Your Sponsor's Social Security number
  • Your date of birth
  • Your signature
  • A description of the issue or concern that must include:
    • Date and time of the event
    • Name of the provider(s) and/or person(s) involved
    • Location of the event (address)
    • The nature of the concern or complaint
    • Details describing the event or issue
    • Any appropriate supporting documents

Note: If you are filing a grievance on behalf of a dependent, provide the dependent's information, as well as your own in the grievance.

Your Region or Plan:  Steps to Filing a Grievance: 
North RegionConnecticut, Delaware, the District of Columbia, Illinois, Indiana, Iowa (Rock Island area), Kentucky (except Fort Campbell), Maine, Maryland, Massachusetts, Michigan, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, and Wisconsin.      Mail or fax your Grievance Form to Health Net:

Health Net Federal Services, LLC
Attn: Grievances
P.O. Box 2399
Virginia Beach, VA 23450-2399 

Fax: 1-888-317-6155
South RegionAlabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee, Texas (excluding El Paso area), and Fort Campbell, Kentucky  Mail your complaint to Humana Military:

Regional Grievance Coordinator
Humana Military
8123 Datapoint Drive Suite 400
San Antonio, TX 78229

For behavioral health care concerns, send your complaints to:

Grievance Specialist
ValueOptions
P.O. Box 551188 Jacksonville, FL 32255-1188 
West RegionAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming.  Mail or fax your Grievance Form to UnitedHealthcare:

UnitedHealthcare Military & Veterans
TRICARE West Region
Attn: Grievances
P.O. Box 105493
Atlanta, GA 30348-5493

Fax: 1-877-584-6628 
Overseas  Mail or email your Universal Grievance and Complaint Form to International SOS:

International SOS Assistance, Inc.
Reconsideration/Grievance Department
P.O. Box 11570
Philadelphia, PA 19116 USA

Email: TOPGlobalQualityAssu@internationalsos.com 

>>Learn More about the Overseas Grievance Process 
TRICARE For Life  U.S. and U.S. Territories:
Mail your complaint to Wisconsin Physicians Service:

WPS-TRICARE For Life Grievances
P.O. Box 8974
Madison, WI 53708-8974

All Other Overseas Areas:
Mail or email the Universal Grievance and Complaint Form to International SOS:
             

International SOS Assistance, Inc.
Reconsideration/Grievances Department
P.O. Box 11570
Philadelphia, PA 19116 USA 

Email: TOPGlobalQualityAssu@internationalsos.com 
Pharmacy  If you have a complaint about pharmacy provider, send it to Express Scripts by either:
  1. Calling 1-877-363-1303
  2. Email:  DOD.customer.relations@express-scripts.com
  3. Mail a letter to:

Express Scripts, Inc.
P.O. Box 52150
Phoenix, AZ 85072-2150

If you have a complaint about home delivery or other services provided by Express Scripts, send a written complaint to:

Defense Health Agency
Pharmaceutical Operations Directorate
7700 Arlington Boulevard, Suite 5101
Falls Church, VA  22042-5101 
Active Duty Dental Program  Mail or fax the Grievance Form to United Concordia:

United Concordia
ADDP Grievances
4401 Deer Path Road, DP-4J
Harrisburg, PA 171110-3907 

Fax: 1-717-260-7168 
TRICARE Dental Program  Submit your complaint online: Or, you can mail or fax your complaint to:

MetLife TRICARE Dental Program Quality of Care
Grievances 
P.O. Box 14184
Lexington, KY 40512 

Fax: 1-855-763-1336 
TRICARE Retiree Dental Program  Mail your complaint in writing to Delta Dental. List the following information on the reverse side of the Patient Grievance Form:
  • Your complaint
  • Requested outcome
  • Any additional records, documents or billing information to support the grievance.

Delta Dental of California
Federal Services Division
P.O. Box 537015
Sacramento, CA 95853-7015 

Last Updated 1/29/2016