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Grievances & Appeals

Your satisfaction is our priority!  If you have a problem or complaint, the Member Services Department can help. The department is available Monday-Friday, 8:30 a.m.-5:00 p.m at (313) 871-2000 or (800) 826-2862.  In most cases, the Member Services Department can resolve your concern.  If the department is unable to resolve the problem to your satisfaction, you may file a grievance/appeal.  Grievance/appeals may be filed for issues that involve:

  • the payment of a claim
  • the denial of a medical procedure, medication, or durable medical equipment
  • benefits

For more information regarding the grievance/appeal procedure, contact the Member Services Department or email us at results@thc-online.com.  Grievance/Appeal information is also available in your member handbook.

 

 
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