File a Grievance
How to Contact Us
‘You can tell us about your complaint or grievance in these ways:
- Call Member Services
- Fill out the Member Grievance/Appeal Form. To have the form mailed to you, call Member Services.
- Write a letter telling us what you are unhappy about. Please include:
- Your first and last name
- Your Ë¿¹Ï¶ÌÊÓƵ member ID number
- Your address and telephone number
- Any information that helps explain your problem
If you have chosen an authorized representative, remember to fill out the .
Mail the form or letter to:
Ë¿¹Ï¶ÌÊÓƵ
Attn: Member Grievance & Appeals
P.O. Box 1947
Dayton, OH 45401-1947
How to Contact Medicare and Medicaid
If you are a MyCare Ohio member who is covered by Ë¿¹Ï¶ÌÊÓƵ for both Medicare and Medicaid, you have the right at any time to file a complaint about your health care plan with Medicare.
File a complaint by contacting the:
Ohio Department of Medicaid
Bureau of Managed Care
P.O. Box 182709
Columbus, Ohio 43218-2709
1-800-324-8680
You can complete the online or call 1-800-Medicare (1-800-633-4227), 24 hours a day, seven days a week. TTY users should call 1-877-486-2048 or 711.
Have you Received a Bill?
If your grievance is about getting a bill for care, call the phone number on the bill and:
- Make sure they have your Ë¿¹Ï¶ÌÊÓƵ member ID number, or
- Give them the primary insurance for the family member who received the care.
If they tell you they have this information, please ask them why you are receiving a bill.
After you have done this, please Member Services and tell us the following information from your bill:
- Date you or your family member received services
- Amount of the bill
- Provider’s name
- Telephone number
- Account number
- Tell us why the provider’s office told you they were billing you.
Our Commitment to You
After we have reviewed your situation, Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio will call you with an answer to your grievance within:
- 2 working days for grievances about not being able to get medical care
- 30 calendar days for all other grievances
If we cannot reach you by phone, we will send you a letter.
Member Services: 1-855-475-3163 (TTY: 1-833-711-4711 or 711), 8 a.m. to 8 p.m., Monday – Friday.