Health Plan Ombudsman: Who Qualifies and What You Get
Learn how to resolve disputes with private health insurers and protect your rights using the national health plan ombudsman.
The Health Plan Ombudsman is a service designed to protect consumers and help resolve disputes with private health insurance companies.
Who it's for
This service is available to anyone who holds a private health insurance plan.
What you get
You get consumer protection and a way to resolve formal disputes with your insurance provider. This can help if your insurer is not meeting its obligations or if you have a disagreement regarding your coverage.
What it costs you
This service is free. To use it, you will need to provide proof that your insurance company has already denied your claim or failed to resolve your issue.
The catch to know
Before you can take your case to the ANS, you must first file a formal complaint directly with your health insurer. The ombudsman typically requires proof that you have attempted to settle the matter with the company first.
How to apply
- Contact your private health insurance provider to file a formal complaint.
- Keep a record of their response or proof that your claim was denied.
- Visit the official portal to submit your dispute.
- Follow the instructions provided on the website to complete your request.