If you have concerns with Sutter Health Plus or a Sutter Health Plus provider, give us a chance to help. You have the right to submit a complaint or grievance at any time. A grievance is a written or oral expression of dissatisfaction. Grievances include, but are not limited to, quality of care concerns and requests for review of coverage decisions.
You have 180 calendar days from the date of the event that caused your dissatisfaction to submit a grievance.
Sutter Health Plus handles all member information in a confidential manner. We do not discriminate against any member who has submitted a grievance. Please fill out the Grievance Form or call the Sutter Health Plus Member Services Department weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500, to file a grievance. You can submit your completed Grievance Form by mail, fax or online (after logging into the member portal). Page two of the Grievance Form has contact information for mailing or faxing your grievance.
Continuity of Care
If you are currently receiving treatment and are (a) a new Sutter Health Plus member or (b) an existing Sutter Health Plus member whose physician is leaving or has left the Sutter Health Plus network, you may request to temporarily remain with your current treating physician. For more information, please review the Continuity of Care Form.
Request for Review Forms for Cancellations, Rescissions or Nonrenewals
If you believe Sutter Health Plus has (or will) improperly cancelled, rescinded or not renewed your plan coverage, you have the right to file a Request for Review. You may submit a request to Sutter Health Plus, the Department of Managed Health Care (DMHC) or both.
You have 180 days from the date of the notice of cancellation or termination you received from Sutter Health Plus to submit a Request for Review. You may submit the request by mail, fax, telephone or online. To make a request, please complete the Request for Review by DMHC form or the Request for Review by Sutter Health Plus form.
For more information on your rights and options, and for contact information for submitting the requests, refer to the document Right to Submit Request for Review of Cancellation, Rescission or Nonrenewal of Your Plan Contract, Enrollment or Subscription. Page one of each of the forms also has contact information for submitting your request.