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Help filing a complaint, grievance or appeal

3 ways to file a complaint

 

You have the right to make your voice heard about your health care experience — whether it’s about us, your plan, a health service or provider. We’re here to make filing a complaint a little easier.

Get help from your state

Your state insurance office can help you if you don’t agree with a decision made by your health plan — or if you need to appeal a decision. Your state insurance office can also help if you’re living outside of the United States but have a grievance with a health plan that’s subject to U.S. health care reform laws.

 

Choose the state where your plan is issued, or where your employer is based.

Get help from the federal government

Get help from the federal government

The federal health care reform law includes rules about appeals, which many plans must follow. If your plan is covered by this law,* you can get help with your appeal by calling the Employee Benefits Security Administration at 1-866-444-EBSA (3272).

 

Get help from EBSA

More helpful resources

Protect yourself as a health care consumer with good information. Below, you can explore your rights, review the complaint process, learn how to appeal decisions and more.

Legal notices

*This generally applies to most medical plans effective or renewed after September 23, 2010. This generally does not apply to dental-only plans, vision-only plans, retiree-only plans, Medicare Advantage plans, Medicare Part D plans and Medicare supplement plans. 

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

See all legal notices 

Here to help you

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