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Speak to an Enrollment Advisor:
Speak to a Member Advocate:
Clever Care is committed to protecting the health care rights of members, including the right to file a grievance. A complaint/grievance is a formal way of telling us that you are unhappy about the quality of care you’ve received, waiting times and the customer service you receive. The grievance process is fundamental to ensuring our members receive needed health care services.
If you have any grievances, please help us to make them right. We want to do the right thing for you and improve for the future.
Grievance and Appeal Form in English
Grievance and Appeal Form in Chinese
Grievance and Appeal Form in Vietnamese
Grievance and Appeal Form in Korean
Grievance and Appeal Form in Spanish
You need to file your grievance within 60 days of the occurrence. If you have a good reason for being late in filing a complaint/grievance, let us know and we will consider whether to extend the timeline for filing a complaint/grievance.
Call Customer Service at 1-833-283-9888 (TTY: 711). We will do everything we can to resolve your concern.
Fax your complaint/grievance to us at 1-657-276-4715.
Mail your complaint/grievance to:
Clever Care
Attn: Grievance and Appeals
7711 Center Avenue, Suite 100
Huntington Beach, CA 92647
Chapter 9 in your Evidence of Coverage includes the process and more information on how to file a complaint/grievance. Or you can visit Medicare.gov.
For process, status questions, or to obtain an aggregate number of Clever Care of Golden State grievances, appeals and exceptions, please call Customer Service at 1-833-823-9888 (TTY: 711).
Clever Care of Golden State is an HMO and HMO C-SNP plan with a Medicare contract. Enrollment in Clever Care of Golden State depends on contract renewal.
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