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Grievances

To file a grievance, mail a written complaint to the appropriate contractor (see below) and include the following:

  • Your name, address and telephone number
  • Your Sponsor's Social Security number
  • Your date of birth
  • Your signature
  • A description of the issue or concern that must include:
    • Date and time of the event
    • Name of the provider(s) and/or person(s) involved
    • Location of the event (address)
    • The nature of the concern or complaint
    • Details describing the event or issue
    • Any appropriate supporting documents

Note: If you are filing a grievance on behalf of a dependent, provide the dependent's information, as well as your own in the grievance.

Your Region or Plan:  Steps to Filing a Grievance: 
East RegionUnder the new regional contracts, the East Region is a merger of the North and South Regions and includes: Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island area), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin.  Mail your complaint to Humana Military:

Regional Grievance Coordinator
Humana Military
8123 Datapoint Drive Suite 400
San Antonio, TX 78229

West RegionAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming. 

Mail or fax your complaint to Health Net:

Health Net Federal Services, LLC
Grievances
P.O. Box 8128
Virginia Beach, VA 23450-8128

Fax: 1-844-802-2531

Overseas  Mail or email your Universal Grievance and Complaint Form to International SOS:

International SOS Assistance, Inc.
Reconsideration/Grievance Department
P.O. Box 11570
Philadelphia, PA 19116 USA

Email: TOPGlobalQualityAssu@internationalsos.com 

>>Learn More about the Overseas Grievance Process 

TRICARE For Life  U.S. and U.S. Territories:
Mail your complaint to Wisconsin Physicians Service:

WPS-TRICARE For Life Grievances
P.O. Box 8974
Madison, WI 53708-8974

All Other Overseas Areas:
Mail or email the Universal Grievance and Complaint Form to International SOS:
             

International SOS Assistance, Inc.
Reconsideration/Grievances Department
P.O. Box 11570
Philadelphia, PA 19116 USA 

Email: TOPGlobalQualityAssu@internationalsos.com 

Pharmacy  If you have a complaint about pharmacy provider, send it to Express Scripts by either:
  1. Calling 1-877-363-1303
  2. Email:  DOD.customer.relations@express-scripts.com
  3. Mail a letter to:

Express Scripts, Inc.
P.O. Box 52150
Phoenix, AZ 85072-2150

If you have a complaint about home delivery or other services provided by Express Scripts, send a written complaint to:

Defense Health Agency
Pharmaceutical Operations Directorate
7700 Arlington Boulevard, Suite 5101
Falls Church, VA  22042-5101 

Active Duty Dental Program  Mail or fax the Grievance Form to United Concordia:

United Concordia
ADDP Grievances
4401 Deer Path Road, DP-4J
Harrisburg, PA 171110-3907 

Fax: 1-717-260-7168 

TRICARE Dental Program 

Mail your Grievance Form to: 

United Concordia
TRICARE Dental Program - Grievances
1800 Center Street
Camp Hill, PA 17089
Fax: 717-260-7168

TRICARE Retiree Dental Program  Mail your complaint in writing to Delta Dental. List the following information on the reverse side of the Patient Grievance Form:
  • Your complaint
  • Requested outcome
  • Any additional records, documents or billing information to support the grievance.

Delta Dental of California
Federal Services Division
P.O. Box 537015
Sacramento, CA 95853-7015 

Last Updated 1/31/2018