MISSION of the Office of the Healthcare Advocate (OHA)

The mission of the 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.