How to Make a Complaint (Filing a Grievance)

What Is a Grievance?

A grievance is an official complaint that you make about your plan, a network provider or pharmacy, and/or the quality of care you received.


How to submit a grievance about your medical care or prescription drug coverage:

You may file a grievance either by phone or in writing. Either way, contact us right away. Grievances must be filed within 60 calendar days of the incident.

  • To verbally file a grievance, you or your appointed representative should contact Member Service at 1-800-831-BLUE (2583) (TTY: 711).
  • To contact us in writing, mail or fax your completed Grievance Form to:

    BlueCross BlueShield of Tennessee
    ATTN: Medicare Advantage Appeals & Grievances Department
    1 Cameron Hill Circle, Suite 0005
    Chattanooga, TN 37402

    Fax:
    (423) 535-5270

More detailed information is available:

For an overview of the entire grievance process, please see Chapter 9 of your Evidence of Coverage located on the Forms and Documents page.

Contact Member Service to obtain a total number of grievances, appeals and exceptions filed with this plan.


How to submit a grievance directly to Medicare:

Medicare Complaint Form

You can use this form to submit feedback about issues with your Medicare plan.


How to appoint a representative:

You may assign someone like a family member, friend, advocate, attorney or any doctor to act as your representative and file a grievance for you. A representative may:

  • Get information about your claim as allowed by federal and state law
  • Submit evidence
  • Make statements of fact and law
  • Make any request, give or receive any notice about the appeal proceedings

If you want to assign a representative to file a grievance for you, both you and your representative must sign, date and fill out the Appointment of Representative Form. The signed form must be filed with your grievance and can be mailed or faxed to:

BlueCross BlueShield of Tennessee
ATTN: Medicare Advantage Appeals & Grievances Department
1 Cameron Hill Circle, Suite 0005
Chattanooga, TN 37402
Fax: (423) 535-5270

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