Resolving Problems for HMO Members
Blue Care Network and your primary care physician want you to be satisfied with the services you receive as a group or individual member. If you have a problem relating to your care, we encourage you to first discuss it with your PCP. Often your PCP can correct the situation to your satisfaction. Of course, you are always welcome to contact us with any questions or problems you may have. Just call the customer service number on the back of your subscriber ID card, formerly known as enrollee ID card, and we'll try to help.
In the event you are unable to resolve your concern through your PCP or customer service, we have established a formal grievance process. If you're a group or individual customer, you have two years from the date of discovery of a problem to file a grievance with or appeal a decision of BCN. There are no fees or costs charged to you when filing a grievance. At any step of the grievance process, you may submit any written materials to help us in our review.
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