Your Medicare appeals and grievances in Kentucky

If you are unhappy with your care, you can complain about:

• The care you get from your provider
• The time it takes to get an appointment or be seen by a provider
• The providers you can choose for care

You can also file an appeal if you don’t agree with a Passport by Molina Healthcare (Passport) decision to:

• Stop, change, suspend, reduce or deny a service
• Deny payment for services provided

Filing a Grievance with Passport Health Plan

If you have a complaint, please call Member Services first. We will try to resolve your problem over the phone. We can even send you a written response to if you ask for one.

If we can’t correct your problem over the phone, you can use our formal Member Grievance Process. You must file a grievance within 60 days of the start of your issue.

You can file a grievance either by phone or in writing.

• Call Member Services (844) 659-6152 (TTY: 711)

• Fill out the Member Grievance Form and fax your complaint to (562) 499-0610
• Fill out the Member Grievance Form and mail it to:

Passport Health Plan

Attention: Appeals & Grievances

P.O. Box 22816

Long Beach, CA 90801-9977

• Log in to the My Molina member portal to file your grievance electronically

We will respond to all quality-of-care grievances in writing, regardless of how the grievance was filed.

For more information, see Chapter 9 of your Evidence of Coverage (EOC).

You can also submit a complaint through Medicare at Medicare.gov