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Forms and Resources:

Medicare Health Care Quality Complaint Form (PDF)

Just Ask: Quality Concerns Document (PDF, 32K)
Complaints


Your Quality-of-Care Concerns

If a Medicare beneficiary has a concern or is not satisfied with the quality of care received, he or she can call the HSAG California Medicare Beneficiary Complaints Helpline at
866-800-8749. You may also download a Quality-of-Care Complaint Form ( English, Spanish) to complete and fax to 866-800-8757 or mail to:

HSAG of California
5201 West Kennedy Boulevard, Suite 900
Tampa, Florida 33609
Attention: Beneficiary Complaints

Examples of Poor Quality Care:
  • Receiving the wrong medication
  • Receiving unnecessary surgery/diagnostic testing
  • Receiving an overdose of medication
  • Experiencing a delay in service
  • Receiving inadequate care or treatment by any Medicare hospital or doctor
  • Experiencing a change in condition that was not treated
  • Receiving a misdiagnosis
  • Receiving inadequate discharge instructions
One of HSAG's trained team members will listen to the complaint and help the beneficiary decide what to do. One of a beneficiary's choices is to make a formal complaint. If the beneficiary decides to make a formal complaint, an HSAG team member can help put it in writing. Once HSAG receives the written complaint, the quality-of-care review will begin.

Your case may be suitable for mediation, a new alternative to resolve your concerns by talking directly with a beneficiary's doctor. (Learn more)

How and When to Contact HSAG 

Trained team members are available Monday through Friday from 8:00 a.m. to 4:30 p.m. However, a beneficiary can leave a message at HSAG's toll-free number, 866-800-8749, 24 hours a day, seven days a week. One of HSAG's team members will assist you with translation services if English is not your primary language.

A beneficiary can call HSAG at 866-800-8749 if he or she:
  • Wishes to discuss the quality of care received.
  • Wants to file a formal quality-of-care complaint.
  • Needs help understanding Medicare rights
A beneficiary can call 1-800-MEDICARE if he or she:
  • Has general questions about Medicare coverage.
  • Needs clarification on how to enroll in Medicare.
  • Wishes to discuss billing issues.
  • Wants to learn more about Medicare benefits and services.


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