Vermont

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.

Below are links to the complaint forms and information for top health plans in Vermont:

• Aetna
• Blue Cross Blue Shield of Vermont
• Cigna
• Martin’s Point
  • Contact Customer Service for more information on the appeals process
• MVP
  • Contact Customer Service for more information on the appeals process
• Medicare Plans
• My plan isn’t listed

STEP TWO – File a Complaint

You have the right to file a complaint with the Vermont Department of Financial Regulation 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 grievance or appeal with the Vermont Department of Financial Regulation here.

You can also call Consumer Services at (800) 964-1784 or (802) 828-3302.