a. She could file a grievance with her plan to complain about the lack of timeliness in getting an appointment.
If Mrs. Burton is dissatisfied with the access to care and the long wait time for an appointment with her primary care physician under her MA-PD plan, she can file a grievance with her plan. A grievance is a formal complaint that she can submit to her plan to express her dissatisfaction and request a resolution to the issue.
By filing a grievance, Mrs. Burton alerts her plan about the problem she encountered with the provider’s timeliness, and the plan will investigate the matter and take appropriate actions to address the issue. It is an essential step for beneficiaries to ensure that their concerns are heard and potentially resolved to improve their overall experience with the plan’s services and healthcare providers.