A grievance is a type of complaint you make about us or one of our network providers or pharmacies, including a complaint concerning the quality of your care. This type of complaint does not involve coverage or payment disputes.
What types of problems might lead you to file a grievance?
You have the right to ask Customer Service for a summary of information about the appeals and complaints filed by other members.
Filing a Grievance
Please call Customer Service if you have a complaint. We will work to resolve your complaint over the phone. We will send you a written response if you ask. We have a formal procedure called our Medicare Advantage Grievance and Resolution Process for complaints we cannot resolve over the phone. You can use this formal procedure by sending us your complaint in writing or by asking Customer Service to help you document a complaint.
Mail or fax your written complaint to:
Blue Cross of Idaho
We will mail you an acknowledgment within fourteen days. You will receive a written response to your complaint from us within thirty days of the day we receive your grievance. In some instances we will need additional time to address your concern. For questions on the status of an appeal you may call 888-494-2583. See your Evidence of Coverage for more information about appeals and grievances. If you would like to send a complaint directly to Medicare, you are now able to do so by filling out the Medicare Complaint Form online.
For information on how to obtain an aggregate number of grievances, appeals and exceptions with Blue Cross of Idaho Medicare Advantage Plans, please contact Customer Service at 1-888-495-2583 or TTY 1-800-377-1363 8 a.m. to 8 p.m., seven days a week.
Medicare beneficiaries may enroll in Blue Cross of Idaho Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
Call from 8 am to 8 pm
7 days a week
3000 E Pine Ave.
Meridian, ID 83642-5996
P.O. Box 8406
Boise ID 83707-2406
If you have special needs, the information on this site may be available in other formats or languages. To find out more call 1-888-494-2583.
Blue Cross of Idaho is a PPO, HMO or HMO POS health plan with a Medicare contract. Enrollment in Blue Cross of Idaho depends on contract renewal.