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Complaints, Grievances & Appeals

How to file a complaint, grievance or appeal

You have the right to file a complaint, grievance or appeal about:

  • Allina Health | Aetna
  • Your plan
  • A health care service, provider or professional

Use our online form to file today

You may also mail or fax your information by printing the following form: 
Member Complaint and Appeal Form

Get help from your state

Your state insurance office can help you if you don’t agree with a decision made by your health plan or if you decide to appeal a decision. Just:

  • Choose the state you live in if your medical plan is self-funded
  • Choose the contract state if your medical plan is insured

If you’re not sure, just ask your employer or call the toll-free number on the back of your medical plan ID card to find out which type of plan you have.

Get help from the federal government

The Health Care Reform law includes rules about appeals. Many plans have to follow these rules. If your plan is covered by the law*, you can contact the Employee Benefits Security Administration (EBSA) at 1-866-444-EBSA (3272) for help with an appeal.

Learn more about the EBSA

Living outside the United States?

You may have a medical plan that covers you or your family while you’re living outside the United States. If it's subject to the U.S. health care reform law, just choose the state where the plan sponsor has its main place of business. You can call the toll-free number on the back of your medical plan ID card if you're not sure.

Minnesota

 

Minnesota Department of Commerce (for fully insured plans)

85 7th Place East, Suite 500

Saint Paul, MN 55101
651-539-1600
800-657-3602
TTY: 651-296-2860

http://mn.gov/commerce/consumers/your-insurance/index.jsp 

Better health care, together

Allina Health and Aetna have partnered to transform the way you experience health care. Our plans are designed to offer members more personal, affordable and effective health care right in their community.

Together, we’re reinventing the health care system and helping members achieve their health goals.

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Health plans are offered, underwritten or administered by Allina Health and Aetna Insurance Company (Allina Health | Aetna). Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Allina Health | Aetna has sole responsibility for its products and services. Aetna provides certain administrative services to Allina Health | Aetna.

Allina Health | Aetna is the brand name used for products and services provided by Allina Health and Aetna Insurance Company.

This material is for information only and is not an offer or invitation to contract. Health benefit plans contain exclusions and limitations. Providers are independent contractors and not our agents. Provider participation may change without notice. We do not provide care or guarantee access to health services. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability are subject to change and may vary by location. If you are in a plan that requires the selection of a primary care physician and your primary care physician is part of an integrated delivery system or physician group, your primary care physician will generally refer you to specialists and hospitals that are part of the delivery system or physician group. Information is believed to be accurate as of the production date; however, it is subject to change.

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Aetna is the brand name for Aetna Life Insurance Company and its affiliated companies. Allina Health and Aetna Insurance Company is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain administrative services for Allina Health and Aetna.

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You are now being redirected to www.allinahealth.org. Allina Health and Aetna Insurance Company (Allina Health | Aetna), a health insurer jointly owned by Allina Health and Aetna, will offer, underwrite or administer health insurance plans.

Aetna is the brand name for Aetna Life Insurance Company and its affiliated companies. Allina Health and Aetna Insurance Company is an affiliate of Aetna. Aetna provides certain administrative services for Allina Health and Aetna.

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