Consumers

Medicare Rights

Qualidigm helps Medicare beneficiaries and their representatives better understand their rights under Medicare. Regardless of your Medicare plan, you have guaranteed access to health care services, protection from unethical practices and the right to:

• Appeal denied services.
• Obtain full information about your care.
• Access emergency room services.
• See doctors, including specialists.
• Participate in treatment decisions.
• Know your treatment choices.
• Receive information in a culturally appropriate manner. For example, get information in languages other than English from Medicare providers and contractors.
• Be treated with dignity and respect at all times.
• File complaints.
• Experience nondiscrimination.
• Have your personal and health information kept private.
• Know your health information privacy rights.

How Can Qualidigm Help?

As part of our work with Medicare, beneficiaries who have a concern, or who are not satisfied with the care they receive, can file a complaint or inquiry with Qualidigm by calling toll-free 1.800.553.7590.

• Rights for hospitalized patients.
• Medicare beneficiary complaint response program.
• Quality of care concerns.
• Medicare mediation program.
• What to do if you receive a notice of non-coverage.
• Beneficiary complaints involving prescription drugs.
• Your Medicare rights and protections. 

For general information about Medicare, visit www.medicare.gov or call toll-free 1.800.MEDICARE (1.800.633.4227).