Nevada

STEP ONE – Notify Your Health Plan

The first thing you need to do is file a complaint with your health plan. Follow the steps below to file a complaint and appeal with your health plan:

  • Call the member/customer service phone number for your health plan.
  • Tell them you want to file a formal complaint and then explain the problem.
  • You can also file your complaint by letter, email, or online through your health plan’s website (see below).
  • If you disagree with your health plan’s decision, you have the right to file an appeal (see below).

Below are links to the complaint forms of Nevada‘s top health plans:

Medicare Plans

 

STEP TWO – File a Complaint

You have the right to file a complaint with the Nevada Division of Insurance if you have a problem getting the services you need, including quality and affordable health care. You must first complete your health plan’s appeal process before you can file a complaint with the Division of Insurance.

  • File your complaint online here.
  • Or download the form here, sign the Release for Information Section and mail it to the Carson City or Las Vegas Division office below or fax: (410) 468-2260.
  • Find more information on submitting a complaint with the Division here.
  • Call the Division’s helpline: (888) 872-3234.

Nevada Division of Insurance
Carson City Office
1818 E. College Pkwy., Suite 103
Carson City, NV 89706

Nevada Division of Insurance
Las Vegas Office
2501 East Sahara Ave., Suite 302
Las Vegas, NV 89104

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Know Your Rights

State and federal law protects your rights. When you sign up for a health plan and/or if you have problems accessing care through your health plan, it is important to know your rights.