Text Size

Home Healthcareplans Cal MediConnect Complaints, Grievances & Appeals

Complaints, Grievances & Appeals

Complaints, Grievances & Appeals

File a Grievance or Appeal

If you have an issue about whether a service is covered, have an issue about the way a service is covered, receive a bill for care, or have a complaint regarding the service you receive from us or one of our providers, please let us know right away. Many problems can be solved by our Customer Service representatives. If you have a problem, please call SCFHP Cal MediConnect Customer Service so that we may try to find a solution.

To submit a grievance or appeal to SCFHP, do one of the following:

  • Fill out and submit an online form:

English  Español  Tiếng Việt  Tagalog  中文

  • Call:
    Toll Free: 1-877-723-4795
    TTY/TDD: 1-800-735-2929 or 711
    8 a.m. to 8 p.m., Monday through Friday.
    We have free interpreter services for people who do not speak English.
  • Complete and mail our Member Grievance Form:

English  Español  Tiếng Việt  Tagalog   中文

Mail completed forms or letters to:
Attn: Grievance and Appeals
Santa Clara Family Health Plan
PO Box 18880
​San Jose, CA  95158

Or fax to:
1-408-874-1962

For more information on what to do when you have a problem or a complaint, see Chapter 9 in your SCFHP Cal MediConnect Member Handbook.

Expand all