Programa del defensor del asegurado
The HHSC Ombudsman is a special office that helps people who have a Blue Cross and Blue Shield of Texas Medicaid plan. Think of them as a "helper" or "problem solver" when you are having trouble getting the health care you need.
¿Qué son los defensores del asegurado?
An ombudsman helps resolve issues for Medicaid members. Se encarga de analizar los problemas y solucionarlos de manera justa. También pueden hablar en nombre de quienes no pueden expresarse por sí mismos.
¿Por qué comunicarse con un defensor del asegurado?
Un defensor del asegurado puede ayudarle a usted y a su familia a:
- Get medicine, see a doctor, or get a medical test.
- Revisar y abordar las inquietudes sobre los servicios.
- Understand and receive the benefits of your BCBSTX health plan.
- Entender sus derechos y responsabilidades.
- Get help for people in nursing homes, kids with disabilities, or people who need behavioral health support.
- Investigar y resolver los problemas de los asegurados sin tomar partido.
- Work to resolve your issues following Texas’ Medicaid guidelines and using BCBSTX resources.
- Entender el proceso de apelaciones e inconformidades.
Poder colaborar con un defensor del asegurado brinda a los asegurados la posibilidad de adoptar un enfoque autodirigido en su atención médica.
When would I contact an ombudsman?
If you have worked with BCBSTX to address your concerns and are not satisfied with the solution, then you can contact an ombudsman. We want to make sure your concerns are addressed.
Información sobre el programa
The Texas Health and Human Services (HHS) Office of the Ombudsman has a program that offers help when you need it. Find out more about the program at the . Contact HHS using the resources below.
Llame al
Llame al 1-866-566-8989
8 a.m. - 5 p.m., Monday – Friday.
If you have a hearing or speech disability, call TTY line at 711.
Write
Mail your inquiry to:
HHS Office of the Ombudsman
P.O. Box 13247
Austin, TX 78711-3247
Fax
Send a fax to:
1-888-780-8099
