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Health Insurance Counseling and Advocacy

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Programs that offer information and guidance for people who need assistance in selecting appropriate health insurance coverage. May also answer questions about health insurance benefits and help people complete insurance forms. (AIRS LH-3500) Organizations that dedicated to protecting and improving the quality and affordability of health and long-term care for all individuals and advocating for changes in the health care system that will achieve these goals; or which advocate more broadly for legislation and other measures. (AIRS TD-1600.2570)

Ombudsman Specialist Blue Cross Blue Shield Centennial, BlueCross Blue Shield of New Mexico View on Map
225 North Michigan Avenue
Chicago, IL 60601
Service Categories:
Organization Name: BlueCross Blue Shield of New Mexico
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Address:
225 North Michigan Avenue
Chicago, IL 60601
Toll Free Phone: 888-243-1134
Service Categories:
Health Insurance Counseling and Advocacy
Email: nmcentennialcareombudsman@bcbs.com
URL: https://www.bcbsnm.com/pdf/benefits/cc-omsbudsman-nm.pdf
Services Provided:

The Ombudsman Specialist advocates for your rights by using Medicaid guidelines and BCBSNM resources to help you with the following:

Reviewing and addressing your concerns regarding services
Addressing your concerns about benefits you feel should be covered but were denied
Helping you understand or clarifying your rights and responsibilities
Helping understand covered services that are available to you
Helping you reach appropriate BCBSNM personnel
Helping you understand the pros and cons of your possible options
Helping you understand BCBSNM policies and procedures
Helping research claims issues
Helping you with the appeals and grievance process
Source: University of New Mexico, Center for Development and Disability
Last Updated: 2/10/2022
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Health Insurance Marketplace, Centers for Medicare and Medicaid Services View on Map
465 Industrial Boulevard
London, KY 40750-0001
 Phone: 800-318-2596
Service Categories:
Organization Name: Centers for Medicare and Medicaid Services
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Address:
465 Industrial Boulevard
London, KY 40750-0001
Phone: 800-318-2596
TDD: 855-889-4325
Toll Free Phone: 800-318-2596
Service Categories:
Health Insurance Counseling and Advocacy
Specialized Information Resources
URL: https://www.healthcare.gov/
Eligibility:

Anyone looking for health insurance under the Affordable Care Act (ACA). Specifically for those who currently don't have health coverage or looking to change plans.
Services Provided: The Marketplace is a new way to find health coverage that fits the individual's budget and needs. With one application, the individual can see all options and enroll. Open enrollment runs from November to December; please see the website for specific dates.COVID-19 UPDATE: Check with health insurance company for specific benefits and coverage for COVID-19. Login to update marketplace application if COVID-19 impacts income or household. May be able to change plan if certain situations apply.

  • General Health Insurance Information/Counseling
Source: Nationwide Suggest Providers Queue
Last Updated: 4/7/2022
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