How can I resolve a problem with my HMO coverage?

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 their contact info:

• Log in to Member Secured Services. If you’ve haven’t visited Member Secured Services before, you’ll need to register first.
• Go to Manage my Plan,” then “Primary care physician – view or change.

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.

Related Items

• How can I resolve a problem with my Blue Cross Blue Shield of Michigan claim?
• Claims FAQ
• Tips for Using Member Secured Services