Right to Submit Grievance

If you believe your health care coverage has been, or will be, improperly cancelled, rescinded, or not renewed, you have the right to file a grievance with the plan and/or the Department of Managed Health Care.

• You may submit a grievance to Community Care Health by calling 1-855-343-2247 (TTY: 1-800-735-2929) or by mailing your written grievance to P.O. Box 45020, Fresno, CA 93718.

• You may want to submit your grievance to Community Care Health first if you believe your cancellation, rescission, or nonrenewal is the result of a mistake. Grievances should be submitted as soon as possible.

• Community Care Health will resolve your grievance or provide a pending status within 3 calendar days. If you do not receive a response from the plan within 3 calendar days, or if you are not satisfied in any way with the plan’s response, you may submit a grievance to the Department of Managed Health Care as detailed under Option 2 below.

• You may submit a grievance to the Department of Managed Health Care without first submitting it to the plan or after you have received the plan’s decision on your grievance.

• You may submit a grievance to the Department of Managed Health Care online at: www.healthhelp.ca.gov

• You may submit a grievance to the Department of Managed Health Care by mailing your written grievance to:

HELP CENTER DEPARTMENT OF MANAGED HEALTH CARE
980 NINTH STREET, SUITE 500
SACRAMENTO, CALIFORNIA 95814-2725

• You may contact the Department of Managed Health Care for more information on filing a grievance at: PHONE: 1-888-466-2219 TDD: 1-877-688-9891 FAX: 1-916-255-5241