The Medicare Beneficiary Ombudsman
The Medicare Beneficiary Ombudsman is a person who reviews and helps you with your Medicare complaints. They make sure information about your Medicare coverage, your Medicare rights and protections, and how you can get issues resolved is available to all people with Medicare. To contact the Medicare Beneficiary Ombudsman, call 1-800-MEDICARE.
The Medicare Beneficiary Ombudsman shares information with the Secretary of Health and Human Services, Congress, and other organizations about what works well and what doesn’t work well to improve the quality of the services and care you get through Medicare.
The Medicare Beneficiary Ombudsman works with the organizations like your State Health Insurance Assistance Program (SHIP) and Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) to help resolve your issues in a timely way.
SHIPs and BFCC-QIOs provide information and counseling to help you with:
- Your Medicare questions, including your benefits, coverage, premiums, deductibles, and coinsurance
- Complaints ("grievances")
- Problems joining or leaving a Medicare Advantage Plan (Part C) (like an HMO or PPO), or any other Medicare health plan, or Medicare Prescription Drug Plan (Part D).
The Competitive Acquisition Ombudsman (CAO)
The CAO helps review and resolve complaints about durable medical equipment (DME). The CAO responds to individual and supplier inquiries, issues, and complaints, and helps make sure that your complaint is resolved.