Ombuds Office
The Ombuds Office is an objective, independent resource for people experiencing issues with their health or dental insurance plan through Covered California.
When should I contact the Ombuds Office?
The Ombuds Office is not the first step. You must call the Covered California service center at (800) 300-1506 before the Ombuds Office can help you.
Contact the Ombuds Office if all of the following apply to you:
- You have a health or dental insurance plan through Covered California.
- You’re experiencing an unresolved issue with your enrollment or application.
- You have already contacted the Covered California service center and completed their escalation process, or you filed a Covered California complaint more than 30 days ago and haven’t received an update.
Call Our Service Center
Covered California representatives can help with enrollment, account changes, complaints, appeals and more.
How to Open an Ombuds Case
The Ombuds Office can help you after you've spoken with a service center representative and your issue remains unresolved.
To get started, complete and submit the Ombuds Contact Form online. Before you fill it out, have the following ready:
- Your case ID number: a 10-digit number associated with your account, starting with a 5 or 1.
- Your reference number: provided by the service center when they assisted with your case.
Once your form is submitted, the Ombuds Office will review your case and work toward a resolution or explain why one could not be reached. A representative will follow up using the contact method you listed on the form. Response time depends on the complexity of your case.
If you have simple inquiries or need quick guidance, you can chat with a member of the Ombuds Office.
Other Helpful Resources
Related Help
These pages can help with issues about your plan, your account or your eligibility.