File a Grievance

What is a Grievance?

A grievance is an official complaint. You have the right to file a grievance at any time. Examples of grievances can be:
    • You cannot get a timely appointment with a provider.
    • You think the provider’s office staff did not treat you fairly.
    • You are not satisfied with the quality of care you received.
    • The availability, delivery or quality of health care services
    • Claims, payments, handling or reimbursement for health care services
    • Matters involving the contractual relationship between the member and the plan

These types of grievances do not involve benefits or denial of benefits.

The Grievance Process

You or your authorized representative may file a grievance verbally or in writing. You or your authorized representative can file a grievance with the state or us. Call Member Services or send a letter to:

Attn: Member Grievances
P.O. Box 1947
Dayton, OH 45401

You can also file a grievance in your My CareSource account. A provider may not file a grievance for you.

Please call Member Services if you have any questions. You may also write to us at:

Attention: GA Member Grievance and Appeals
P.O. Box 1947
Dayton, OH 45401

Call us if you have any questions. We can also read this out loud for you, in English or in another language. We also can help you if you are visually or hearing impaired. We can have language services help you. This is at no cost to you.

Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m.