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The Medicare Beneficiary Ombudsman is Working For You

The Medicare Beneficiary Ombudsman works to ensure that people with Medicare get the information and help they need to understand their Medicare options and to apply their rights and protections. The Medicare Ombudsman may identify issues and problems in payment and coverage policies, but doesn't advocate for any increases in program payments or new coverage of services.

The Medicare Ombudsman works to ensure that existing Medicare information, counseling, and assistance resources work the way they should to help you with your complaints, s , grievances, or questions about Medicare.

There are many ways you can get Medicare information or have your Medicare-related problems resolved. The Medicare Ombudsman works with the organizations responsible for meeting these needs to be sure they work effectively.

The Medicare Ombudsman...
  • provides these organizations with expected standards for effective and efficient performance.
  • gathers information to measure how well your needs are met and whether you have the information you need to make good health care decisions.
  • shares information about what works well and what doesn't work well to continuously improve the quality of the services and care you get through Medicare.
  • reports problems and makes recommendations for improvement to Congress.
  • works to ensure that the needs of all people with Medicare are served by its programs.

Visit www.medicare.gov on the web or call 1-800-MEDICARE (1-800-633-4227) for more information, to ask questions, and to submit complaints about Medicare to the Office of the Medicare Ombudsman. TTY users should call 1-877-486-2048.

(Primary Source: Centers for Medicare and Medicaid Services - Medicare and You Handbook. This content may have been enhanced by Q1Group LLC to include further examples, explanations, and links.)