File A Complaint
in California
Learn how to file complaints with Kaiser Permanente and consumer-protection agencies in your state.
Internal Complaints with Kaiser Permanente
All health plans are required to have an internal process for health plan members to file complaints or “grievances” and receive a decision in 7 or 30 calendar days depending on the urgency of the problem.
You can also contact Member Services and file a complaint through your member account on kaiserpermanente.org or by visiting Kaiser Support (follow the steps to select your region and then scroll down to the bottom to click on “File a complaint”).
External Complaints with Consumer Protection Agencies
HMO Members (and some PPO members):
Contact the California Department of Managed Health Care (DMHC) by phone at 1-888-466-2219 or visit the department’s website to file a complaint.
For Medi-Cal Members
See #1 above for instructions for filing a complaint with the DMHC.
For PPO or High Deductible Plan Members
Contact the California Department of Insurance by visiting its website or calling 1-800-927-4357.
For Medicare Beneficiaries
Call the Health Insurance Counseling & Advocacy Program (HICAP) which is run through the California Department on Aging at 1-800-434-0222. Also see cahealthadvocates.org/hicap/. You can also contact the Medicare Rights Center National Helpline online here or call 1-800-333-4114.
For CalPERS Members
In addition to filing a complaint with Kaiser member services and either the DMHC or Medicare, CalPERS members can immediately file a complaint with CalPERs. (You do not have to wait until the conclusion of the grievance process with Kaiser Member Services.)
Contact CalPERS by mail
CalPERS Health Benefit Compliance and Appeals Unit Attn: Health Appeals Coordinator P.O. Box 1953 Sacramento, CA 95812-1953
Contact CalPERS by Email
Health.Appeals@calpers.ca.gov
Has Kaiser Permanente delayed or denied your mental health care? Have you or a loved one been forced to endure long waits for appointments?
In an emergency or in need of immediate help, dial 911 or go to your nearest emergency room.
NATIONAL SUICIDE PREVENTION LIFELINE
1-800-273-8255
