Filing a grievance

If you are not happy with any aspect of CarePlus’ operations, activities or the behavior of its providers, you have the right to file a grievance (complaint). For example, you may file a grievance if:

• You call Member Services and felt your wait time was longer than you wanted to wait; or 
• You visit your doctor and are unhappy about an aspect of the visit.  

Who can submit a grievance

As a member of CarePlus, you or a person you appoint can file a grievance. If you want to appoint a representative to submit a grievance  for you, you can find additional information on our How to Appoint a Representative page.

How to submit a grievance

By phone

Call CarePlus Member Services

By fax or mail

Download a copy of the Grievance or Appeal Request Form in English PDF opens in new window or Spanish PDF opens in new window When filling out the form please provide as much information as possible so we can help resolve your issue. Send the completed form to the address or fax number below:

Fax: 800-956-4288 

Mailing address: 
CarePlus Health Plans, Inc.
Attention: Grievance and Appeals department 
P.O. Box 277810 
Miramar, FL 33027 

After we receive the request, CarePlus will investigate the concern (grievance) and provide a response within 30 calendar days.

You also may submit feedback directly to the Centers for Medicare & Medicaid Services by filling out the Medicare Complaint form with the information and concern. 

To obtain information on an aggregate number of Medicare grievances, appeals and exceptions filed with CarePlus, please call the number on the back of your ID card.