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  1. For Members
  2. Report Wrong Actions
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  2. For Members
  3. Report Wrong Actions

Have you seen a doctor or caregiver mistreat a child or adult?

This could include actions that cause physical, mental, or financial harm. These situations are called critical incidents. They raise serious red flags about whether a Highmark Health Options member is being treated fairly and safely.

Illustration of caretaker talking to patient
Tell us right away if you think doctor or paid caregiver is involved in a critical incident and has mistreated a Highmark Health Options member.
Here’s what to look out for:
  • Caused a severe injury. This includes a broken bone, deep cut, or serious burn.
  • Denied a member’s basic needs. This includes food, medicine, personal care items, and supervision.
  • Forced or tricked a member into sexual activity.
  • Injured a member or caused emotional distress.
  • Stolen a member’s money or medicine.
  • Used a member’s checkbook, debit card, or credit card without permission.
  • Was unprofessional. This includes yelling at a member or refusing to do their job.

Report a critical incident.

Call Member Services at 1-844-325-6251 (TTY: 711 or 1-800-232-5460), Monday-Friday, 8 a.m.–8 p.m.