My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
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:
Below are links to the complaint forms and information for New Mexico’s top health plans:
You have the right to file a complaint with the New Mexico Office of Superintendent of Insurance (OSI) if you have a problem getting the services you need, including quality and affordable health care. To file a complaint, you must first complete your health plan’s appeal process.
You can find information on how to file a consumer complaint or appeal with the New Mexico OSI here.
You can also call the Office of Superintendent of Insurance’s help line at: (855) 427-5674.
If you have coverage through Medicaid or Medicare, you have the right to file a grievance with the New Mexico Human Services Department’s Medical Assistance Division at: (888) 997-2583.
My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
Find answers to commonly asked questions.
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.