Member Services

Complaints & Grievances

What is a complaint?

A complaint is when you tell us that you are not satisfied with the services you received.  

You may file a complaint with us by phone or in writing or online. Magellan's procedure to manage complaints and grievances is found in the Enrollee Handbook.

Click here for more information on Magellan's complaint procedure. You may also complain to the U.S. Secretary of Health and Human Services. You will not receive a negative reaction from us because you file a complaint.

The address for Magellan Health Services is: 

7400 NW 19th Street, Suite C

Miami, FL  33126                                               

To file your complaint by phone, please call:                          

PMHP Area 2 1-800-327-5548

PMHP Area 4 1-800-327-5549

PMHP Area 9 1-800-327-6304

PMHP Area 11 1-800-424-1693

PMHP CW 1-800-327-5542

Si usted no habla inglés, llame al número que está arriba. Le enviaremos una traducción de este aviso y/o le conseguiremos un intérprete para ayudarle de forma gratuita.

Magellan offers all members and providers the opportunity to file a complaint online:

For Members:

• 1. Contact us to make a complaint by clicking on this link. On this page, you can type and submit your message to us.

For Providers:

1.   Access through the provider website: www.magellanhealth.com/provider

2. Click on the link labeled 'FAQ' located in the banner upper towards the right hand corner of the screen

3. Click on the link labeled 'Feedback'

4. Click on the link labeled 'Who Can I Contact Regarding Complaints (or Compliments)' located in the list labeled 'Feedback'

5. Type and submit message

What is a Grievance?

A grievance is what you file when you do not agree with Magellan's decision that a service that you or your provider asked for is not medically necessary. 

Click here for more information on Magellan's grievance procedure.