What is a Grievance?
A grievance is a complaint about the way your Medicare AdvantageMedicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B). health plan or Medicare Part DMedicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... drug plan is giving care. For example, a beneficiaryA person who has health care insurance through the Medicare or Medicaid programs. may file a grievance if they have a problem calling the plan or if they’re unhappy with the way a staff person at the plan has behaved. However, if a beneficiary has a complaint about a plan’s refusal to cover a service, supply, or prescription, they must file an appealAn appeal is an action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare Advantage plan, or your Medicare Part D plan..