How to Complain About the Quality of Care to My HMO
- 1). Locate your HMO's membership card. This will list the name and mailing address of your HMO and probably a general phone number. If you wish to send your HMO an email, look up the HMO's name on the Internet. All HMOs maintain websites with complete contact information.
- 2). Draft your letter to the HMO. Include all of the information you have about the incident about which you want to complain, including the date, name of the doctor or office, exactly what happened and any complaints you made to the doctor or office itself. If you need to address ongoing issues, make a note of the dates on which the poor care occurred. If you are going to call your HMO, writing everything down and having it at hand during the call will assist you in making the call.
- 3). Decide what kind of response you want, such as being switched to a different doctor or office, being refunded money or having an employee of the HMO disciplined.
- 4). Write your letter or email in standard business format, addressing it to the correct person and including your full name and contact information. If there is someone else the HMO should speak to in your place, such as a caretaker or home aide, include that information. If you call, make sure you provide the person you speak to with your full name and contact information.
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