Compliance Concern & Reporting Form
Use this form to report compliance concerns, fraud, waste, abuse, privacy issues, agent conduct concerns, marketing violations, enrollment concerns, whistleblower matters, retaliation concerns, or supporting documentation related to Medicare or insurance activity.
What to Include
Please include the date, people involved, consumer name if applicable, carrier or plan name, summary of concern, screenshots, emails, call recordings, text messages, mailers, applications, forms, or any other supporting information.
Confidential Review
Reports are handled with discretion and shared only with individuals who have a legitimate need to review, investigate, respond to, or escalate the matter. Absolute confidentiality cannot be guaranteed.
Submit Your Report
Complete the form below as accurately as possible. You may submit the report anonymously if the form allows it, but providing contact information may help us follow up if additional information is needed.
Disclaimer: This reporting form is provided for informational and compliance reporting purposes only. It does not provide legal advice and does not replace reporting to Medicare, CMS, HHS-OIG, HHS OCR, a carrier, law enforcement, a state Department of Insurance, or any other applicable regulator.
Submitting this form to Advantage Plus does not prevent any person from reporting directly to a government agency, regulator, carrier, law enforcement, or other appropriate authority.
If you need immediate help with a Medicare complaint, you may contact Medicare at 1-800-MEDICARE / 1-800-633-4227. TTY users can call 1-877-486-2048.
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