Need Help?

We're here to answer your questions.

Grievance and appeals forms

Who is this for?

Use these forms to file grievances or appeals

If you want to file a grievance or complaint, or appeal a decision about something in your Medicare plan, we've made these forms for you to use. 

We respect your rights as a Medicare customer. If you have a concern about our services or any of our providers, you can file a complaint.

Call us first. You can start by calling the number on the back of your Blues ID card. If you don't want to call, there are other ways to tell us about your concern. You can send us a form or let us know in writing. How you contact us depends on the plan you have, and if your issue is either medical- or drug-related.

Do you have a Medicare Plus BlueSM PPO plan?

Do you have a BCN AdvantageSM HMO-POS or HMO plan?

Was this content helpful?

Rate it

Submit >

©1996-2014 Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. 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  |  Important Information About Medicare Plans

Y0074_W_Jul14WebBCBSBCN Pending CMS Approval

Page Last Updated Wed Jul 09 09:38:36 EDT 2014