Browse by Topic

Browse by Plan Type

Other Help

Not finding what you need in this section for members and insurance shoppers? Check out our other help sections below.

How can I resolve a problem with my HMO coverage?

Who is this for?

Michigan Health Insurance – Customer Service – HMO Plans

If you’re a Blue Care Network member and have a problem with a claim, this explains how to report it, and the grievance and appeals process.

It’s important to us that you’re satisfied with the service you receive or the way a claim or request for benefits is handled. If you have a problem, we want to help.

Who should I contact?

Is it about care you received from a doctor, hospital or healthcare facility?

Start by talking to your primary care physician. If you’re not sure who that is, or need the contact info:

  • Log in to your account at bcbsm.com. If you’ve haven’t used your account before, you’ll need to register first.
  • Click Doctors and Hospitals in the blue bar at the top of the page.
  • Click Primary Care Physicians.

If it’s about service you received from Blue Care Network, or a problem with a claim, please contact us.

I talked to my primary care physician or Customer Service, and I still have a problem. Now what?

We have a formal grievance and appeals process you can follow. You can begin this process up to two years from when the problem started. It doesn’t cost you anything to file a grievance or appeal a decision.

Was this content helpful?

Rate it

Submit >

One site. One stop.

Managing your health plan online
has never been easier. On the new bcbsm.com, all your account information is in one place and personalized, so it's more useful.
Even better, you can access it anytime, anywhere, from your mobile device.

I’d like to register

Log in to my account

©1996-2014 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan.

State and Federal Privacy laws prohibit unauthorized access to Member's private information. Individuals attempting unauthorized access will be prosecuted.

Site Map  |  Feedback  |  Important Legal and Privacy Information

Explanation of Level A Conformance
Better Business Bureau Online Seal of Reliability