STEP ONE – Notify Your Health Plan

The first thing you need to do is file a complaint with your health plan. By Oregon law, complaints must be resolved within 30 days. 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 through your health plan’s website (see below).
  • If your health plan rejects your appeal, you have the right to an external review.
  • Contact the Division of Financial Regulation for help with the appeals process and to apply for an external review: (866) 814-9710.

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


Medicare Plans


STEP TWO – File a Complaint

You have the right to file a complaint with the Oregon Division of Insurance (DOI) if you have a problem getting the services you need, including quality and affordable health care. Once the DOI receives your complaint, an advocate will advise you of their findings within 60 days.

  • File a complaint with the DOI’s Consumer Advocacy Unit online here.
  • Call the Consumer Advocacy Unit’s helpline: (888) 877-4894.
Share Your

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.

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.