File a Complaint

Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) can help when you have a concern about the quality of the medical care you are receiving from a health care facility (e.g. hospital, nursing home, or home health agency) or professional. You can file a formal Medicare complaint through your BFCC-QIO.

Examples of quality of care concerns include but are not limited to:

• Receiving the wrong medication
• Receiving an overdose of medication
• Receiving unnecessary surgery
• Receiving unnecessary diagnostic testing
• Experiencing a change in condition that was not treated
• Receiving a misdiagnosis
• Receiving inadequate discharge instructions

A Medicare beneficiary can contact his or her BFCC-QIO if he or she:

• Needs to discuss the quality of care received;
• Wants to file a formal quality of care complaint; or
• Needs help to understand his or her Medicare rights.

A beneficiary can call 1-800-MEDICARE if he or she:

• Has general questions about Medicare coverage
• Needs clarification on how to enroll in Medicare
• Wishes to discuss billing issues.

Trained staff is available to provide:

• Answers to your questions about complaints and the filing process
• Assistance with completing the Quality of Care Complaint Form
• Translation services

You or your representative may contact your BFCC-QIO to have a Medicare quality of care complaint form sent to you by mail. Or you can access the Medicare quality of care complaint form online. You can find your state’s BFCC-QIO by checking the list below.

You can submit your complaint by mail or fax (emailed forms can not be accepted):

Mail: Download the Medicare quality of care complaint form, complete and mail to your BFCC-QIO’s address.

Fax: Download the Medicare quality of care complaint form, complete and fax to your BFCC-QIO’s fax number.

You can learn more about filing a complaint on Medicare.gov.