Our plan products are designed to help you take care of your health. There may be a time when you don’t agree with our decision to deny, reduce or terminate a service. Or you may be dissatisfied with a service or process you received. You can make an appeal or file a complaint (grievance).
If you choose to make an appeal or file a complaint, it will NOT affect your eligibility for medical benefits.
Your Member Handbook has full details on how to file a complaint or make an appeal. PMAP member handbook | MNCare member handbook | SNBC member handbook
You will receive a letter from us when:
If you disagree with the service change or denial, you can file an appeal with us.
Call: Call Member Services at 612-596-1036.
TTY 1-800-627-3529
Write: Download the appeals/grievance form
Complete and return to: Hennepin Health Minneapolis Grain Exchange Building 400 S Fourth Street, Suite 201 Minneapolis, MN 55420
You can also make a state appeal (also called a state fair hearing). You must appeal to Hennepin Health first before asking for a state appeal.
Contact:
Minnesota Department of Human Services Ombudsman for State Managed Health Care Programs P.O. Box 64249 St. Paul, MN 55164-0249 Call: 651-431-2660, 1-800-657-3729, TTY: 711 Fax: 651-431-7472 Website
If you are not satisfied with a service or a process, you can file a complaint with us.
If you do not agree with our decision, you can file your complaint with the Minnesota Department of Health.
Contact Minnesota Department of Health Health Policy and Systems Compliance Monitoring Division Managed Care Systems P.O. Box 64882 St. Paul, MN 55164-0882 Call: (651) 201-5100, 1-800-657-3916, TTY: 711
DHS approved 9/24/2020 ID #HC-1110-MC
612-596-1036, TTY 1-800-627-3529