ABOUT OHA
BACKGROUND
The Office of the Healthcare Advocate was originally established as the Office of the Managed Care Ombudsman, in 1999, when the Connecticut General Assembly passed Public Act 99-284, "An Act Concerning Managed Care Accountability". In 2005, the General Assembly changed the name of the agency to the Office of the Healthcare Advocate (OHA).
MISSION
The mission of the Office of the Healthcare Advocate (OHA) is to assist consumers with healthcare issues through the establishment of effective outreach programs and the development of communications related to consumer rights and responsibilities as members of healthcare plans.
OHA focuses on assisting consumers in making informed decisions when selecting a health plan; assisting consumers to resolve problems with their health insurance plans and tracking trends of issues/problems, which may require administrative or legislative intervention, or advocacy with industry, the public, or other stakeholders.
Contact OHA for assistance with inquiries involving:
- healthcare insurance enrollment, coverage or billing questions
- claim denials or pre-authorization issues
- explanations regarding a healthcare benefit, program or coverage
- an assessment of the healthcare plans offered in Connecticut
- your rights and responsibilities as a healthcare plan member
- referral and pre-authorization procedures required by your healthcare plan
- your healthcare plan’s internal and external appeals processes
Please let us know how we can help you. Go to Request Assistance.
Toll-free number: 1-866-466-4446 or email: Healthcare.advocate@ct.gov