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The Healthy Connections Prime Ombudsman promotes the rights of Healthy Connections Prime members at all times and through all phases while protecting the privacy of the member. 

 

The Healthy Connections Prime Ombudsman is:

  • A listener

  • An educator

  • A problem solver

  • A neutral investigator

  • An advocate for fair and equal treatment

 
 
When should I call the Healthy Connections Prime Ombudsman?
  • You are not getting the care that you need

  • You are getting bills that you think your health plan should pay

  • You cannot solve a problem by talking to your health care provider or health plan

  • You do not know how to make a complaint.

 

What can the Healthy Connections Prime Ombudsman do?
  • Help you identify issues and possible solutions

  • Help you know your rights

  • Investigate complaints

  • Negotiate with your health plan to help you get the care you need

  • Resolve billing issues

  • Explain how to file a grievance, appeal, or state fair hearing

  • Help you navigate the health care system.