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Complaints and Grievances

If you are unhappy with PerformCare® or your provider or you do not agree with a decision PerformCare made about delivery of your care, you can file a complaint or grievance.

If PerformCare decides that a service you or your provider asked for is not medically necessary, you can file a grievance.

You can call or write PerformCare to find out what you can do. Staff is available to tell you what your rights are and what actions you can take if you are unhappy with your care or your provider, or if you are dissatisfied with a decision PerformCare made.

Effective September 1, 2018, PerformCare will be following a new complaint, grievance, and fair hearing process. If you would like to know more, see the complaint, grievance, and fair hearing presentation below. If you need any of this explained in more detail, or if you have any questions about any of this information, call PerformCare Member Services for your area and let us know how we can help you.

  • 1-888-722-8646 for Cumberland, Dauphin, Lancaster, Lebanon, and Perry counties.
  • 1-866-773-7891 for Bedford and Somerset counties.
  • 1-866-773-7917 for Franklin and Fulton counties.

Download our complaints and grievances pamphlet (PDF) that explains our process to handle your complaints and grievances.