We can offer advice with...
- Billing Issues
- Commercial Insurance
- DC Health Care Alliance
- DC Healthy Families [PDF]
- Eligibility for State Programs
- EPD Waivers [PDF]
- Grievances/Appeals (Health Benefits Plan Members' Bill of Rights) [PDF]
- Health Care Reform
- Health Care Rights and Responsibilities
- Health Services for Children with Special Needs [PDF]
- Home and Community-Based Services Waiver for Individuals with Intellectual and Developmental Disabilities (II/DD) [PDF]
- Katie Beckett Waiver
- Knowing Your Rights [PDF]
- Prescription Drug Coverage
- Qualified Medicare Beneficiary Program (QMB)
- Transportation Services (non-emergency)
Our Health Care Outreach/Education Services’ efforts include education on insurance coverage, managed care and your rights to medically necessary health care by your insurance company. We make presentations to community, provider and advocacy groups. For further information, please call (202) 724-7491.
When should you call the Health Care Ombudsman?
If you live or work in the District of Columbia, and...
- Your insurance company won’t pay a medical bill that you think they should pay;
- Your doctor or another provider isn’t treating you the way you think they should;
- You need help finding health care, but don’t know who to call;
- Your doctor says you need a prescription, but your insurance company doesn’t agree;
- Your doctor says you need a test, but your insurance company says “no”;
- You want health insurance, but you don’t know who to call; or
- Your doctor says you need to stay in the hospital, but your insurance company says you must go home.