What to report
- Enrolling you in a plan, or changing your plan, without your consent
- Misleading claims about benefits, costs or your doctors being in network
- Pressure tactics, unsolicited calls or showing up at your door uninvited
- Saying they're from Medicare or the government, or that Medicare backs a particular plan
- Selling without an Oregon license, or asking for money or gifts to enroll you
How to file
- Write down the details. The agent's name, agency, phone number, license number or NPN if you have it, dates of contact, what was said, and any plan names and letters.
- Contact DFR. File online with DFR's insurance complaint form (also in Spanish), call 1-888-877-4894 (in Salem, 503-378-4140), email DFR.InsuranceHelp@dcbs.oregon.gov, or mail the printed form to PO Box 14480, Salem, OR 97309.
- Call 1-800-MEDICARE (1-800-633-4227). Report Medicare Advantage or Part D marketing problems, and ask how to fix an unwanted enrollment.
- Tell the plan. Call the plan's member services and file a grievance about its agent.
Who handles what
| Problem | Where to go |
|---|---|
| Agent's license or conduct; Medigap sales | Oregon Division of Financial Regulation, 1-888-877-4894 |
| Medicare Advantage or Part D marketing and enrollment | 1-800-MEDICARE and the plan |
| Fraud, such as billing for care you didn't get | 1-800-MEDICARE, I-MEDIC (1-877-772-3379) or HHS-OIG at tips.oig.hhs.gov |
| Phone scams and identity theft | Oregon Department of Justice consumer hotline, 1-877-877-9392 |
If your complaint is about an agent you found on OregonMedicare.org, please also tell us through our contact page. Agents listed here are independent licensed insurance agents who work with Benefits Life.
Related questions
How do I find a licensed insurance agent in Oregon?
Licensing, lookups and questions to ask.
How do I report Medicare fraud in Oregon?
Who to call about billing you don't recognize.
Medicare phone numbers for Oregon
Every number in one place.
Sources
- Oregon Division of Financial Regulation — File a complaint
- Oregon Division of Financial Regulation — Contact us
- Medicare.gov — Talk to someone
- Medicare.gov — Reporting Medicare fraud and abuse
More questions in this guide
- How can I help my parent with Medicare in Oregon?
- How do I appeal a hospital discharge in Oregon if I'm not ready to go home?
- How do I appeal a Medicare denial in Oregon?
- How do I find a licensed insurance agent for Medicare in Oregon?
- How do I find Medicare doctors in Oregon?
- How do I report Medicare fraud in Oregon?
- What are the Medicare phone numbers for Oregon?
- Where is the Social Security office near me in Oregon?
Part of the guide: Medicare Appeals in Oregon · All questions
Frequently asked questions
Will the agent know I complained?
Yes. DFR keeps your personal information confidential under state and federal law, but it sends a copy of your complaint to the agent or company so they can respond.
How long does DFR take?
DFR says most complaints are resolved within 60 days, though it varies by type. DFR can't act as your lawyer.
I was switched to a plan I didn't want. Can I fix it?
Call 1-800-MEDICARE and explain what happened. Ask whether you qualify for a special enrollment period to change plans.
Medicare in your Oregon county
Plans, local agents and help, county by county: Multnomah · Washington · Clackamas · Lane · Marion · Jackson · Deschutes · Linn · Douglas · Yamhill · Benton · Polk · Josephine · Umatilla · Klamath · Coos · Columbia · Lincoln · Clatsop · Malheur · All 36 counties →
