Filing a grievance

If you are not happy with any aspect of CarePlus' operations, activities or the behavior of its providers, you have the right to file a grievance (complaint). For example, you may file a grievance if:

• You call Member Services and felt your wait time was longer than you wanted to wait; or 
• You visit your doctor and are unhappy about an aspect of the visit.  

Who can submit a grievance

As a member of CarePlus, you or a person you appoint can file a grievance. If you want to appoint a representative to submit a grievance for you, you can find additional information on our Cómo designar un representante a través de nuestra página.

How to submit a grievance

Por teléfono

Llame a Servicios para afiliados de CarePlus

Por fax o por correo electrónico

Descargue una copia del formulario de quejas formales o apelaciones en Inglés el PDF se abre en una ventana nueva o español el PDF se abre en una ventana nueva When filling out the form please provide as much information as possible so we can help resolve your issue. Send the completed form to the address or fax number below:

Fax: 800-956-4288 

Dirección postal: 
CarePlus Health Plans, Inc.
Attention: Grievance and Appeals department 
P.O. Box 277810 
Miramar, FL 33027 

After we receive the request, CarePlus will investigate the concern (grievance) and provide a response within 30 calendar days.

También puede enviar sus comentarios directamente a los Centros de Servicios de Medicare y Medicaid a través del Formulario de Queja de Medicare con la información e inquietud. 

To obtain information on an aggregate number of Medicare grievances, appeals and exceptions filed with CarePlus, please call the number on the back of your ID card.