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Complaints, Grievances & Appeals

Plans that are currently available effective on or after January 1, 2018 are underwritten by Banner Health and Aetna Health Insurance Company.

How to file a complaint, grievance or appeal

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

  • Banner|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: 
PDFMember 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.

  • 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 are not sure, 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, 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, choose the state where the plan sponsor has its main place of business. Call the toll-free number on the back of your medical plan ID card if you're not sure.

Arizona

Arizona Department of Insurance

Consumer Services
2910 N. 44th Street, Ste. 210
Phoenix, AZ 85018-7269

  • 800-325-2548

  • 602-364-2499 (Phoenix)

  • 602-364-2977 (Spanish)

http://www.id.state.az.us/
E-mail: consumers@azinsurance.gov

Transforming health care, together

Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions.

Contact us

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