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.