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Medicare Complaint Form

You are now able to submit feedback about your Medicare health plan or prescription drug plan directly to Medicare using the form below. The Centers for Medicare & Medicaid Services values your feedback and will use it to continue to improve the quality of the Medicare program. If you have any other feedback or concerns, or if this is an urgent matter, please call 1-800-MEDICARE (1-800-633-4227). TTY/TTD users can call 1-877-486-2048.

Submit Your Feedback

Fields marked with a red asterisk (*) are required.

*Does your complaint or concern need to be addressed within 10 days?
Please indicate whether your complaint needs to be addressed within 10 days
Optional Information:
To help us serve you better, please provide your Medicare Information:

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