Medicare Beneficiary Helpline

303.695.3333 in Denver, 1.800.727.7086 statewide

CFMC provides a Medicare beneficiary helpline for answering questions regarding the quality of the health care a Colorado Medicare beneficiary has received.

Several types of questions are received via the helpline:

filing a beneficiary complaint about the quality of health care received while the beneficiary was a patient in a hospital, nursing home, home health agency, or an emergency room;
filing a complaint about the quality of care received from an HMO;
asking questions about hospital and outpatient services and billing;
appealing a denial of payment on a Medicare bill;
asking questions about durable medical equipment (DME) such as wheelchairs, oxygen, and diabetic supplies;
reporting alleged Medicare billing fraud;
requesting information about Medicare HMOs and other supplemental insurance plans;
replacing a lost Medicare card;
asking questions about Medicare coverage of procedures or services;
appealing a hospital discharge decision when the beneficiary or a family member disagrees;
asking about enrolling in Medicare;
and questions about Social security, Medicaid, and other topics.

CFMC is responsible for reviewing medical quality of care concerns for Medicare beneficiaries. However, helpline staff members are able to refer other calls to appropriate agencies. The helpline telephone numbers are 303.695.3333 in Denver and 1.800.727.7086 statewide. Additional information for Medicare beneficiaries is available at 1.800.Medicar(e).

If you have questions about Medicare benefits other than those listed above, visit our Medicare Resources page for more information.

The Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.