For Medi-Cal Members - How To File a Grievance
 
Online Grievance Form
 
As a Partnership HealthPlan of California (PHC) member, we want to hear your concerns about the health care services you receive. We want you to talk with your doctor if you have any questions about your health care. If this is not possible, or you need help, please call the Member Services Department at 800-863-4155.
 
You also have the right to file a complaint if you are not happy with the care, service or treatment you received. You can file a complaint within 180 calendar days of the incident that caused your dissatisfaction by:
 

1.       Telephone: You may file a grievance or ask questions about the grievance process by calling the PHC Member Services Department at 800-863-4155. Bilingual staff is available.

 

2.       In Writing: You may file a grievance in writing to PHC. Written grievances should be sent to:


Partnership HealthPlan of California
4665 Business Center Drive
Fairfield, CA 94534
Attention: Grievance Unit

3.       In Person: You may file your grievance in person by visiting PHC's office at:


4665 Business Center Drive
Fairfield, CA 94534

4.       Contracted Provider: You may file your grievance at the office of any provider that is contracted with PHC. Forms titled "Request for a Complaint or Appeal" may be used to file your Grievance. These forms are located at all provider offices that are contracted with PHC.


5.       Online Grievance Form: You may complete an online grievance form.

 
When PHC receives your complaint, we will send you a letter within five (5) calendar days letting you know the status of your complaint and the name of a Grievance Coordinator. The Grievance Coordinator will contact you to discuss your problem(s) and to review PHC’s grievance process.
 
If you send the form electronically during non-business hours, the notice will be sent to you no later than five (5) calendar days from the next business day. A letter explaining the response to your complaint will be mailed within 30 days of receiving your complaint.
 
Expedited Grievances: Any complaint with serious health concerns will be reviewed by Partnership HealthPlan of California within three (3) days of receiving the complaint.
 
Partnership HealthPlan of California will not discriminate against you or limit your benefits in any way if you express concerns or file a complaint.