Need to meet one-on-one with an Ombudsman? Call us to schedule an appointment in our Boston office on Tuesdays and Thursdays, 10am-3pm.

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My Healthcare,

My Rights,

My Ombudsman

What we do

WE WORK WITH YOU, YOUR HEALTHCARE PROVIDERS, AND MASSHEALTH TO HELP YOU ACCESS THE BENEFITS AND SERVICES COVERED BY YOUR PLAN.

Our team can answer questions about plan benefits and services, help you understand a denial letter, listen to your concerns, help address problems, and more. We help anyone enrolled in MassHealth, of all ages, identities, and abilities in over 165 languages on request, including ASL. 

 

HOW WE DO IT

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1. We Listen

First, you will speak to a Community Liaison who listens to you with compassion and respect. The Community Liaison can answer questions about your MassHealth benefits, your member rights, and connect you to other community resources if you need them.

 
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2. We Gather Information

If you need further assistance with a specific issue or complaint, the Community Liaison may ask for more information about you and the situation so that we can open your case and assign it to an Ombudsman.

 
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3. We Work Together

Your Ombudsman will work with you to discuss the issue in more detail and explore the next steps. With your permission, your Ombudsman may reach out to your health plan, your providers, or anyone else involved to help understand the problem and find solutions. Your Ombudsman will offer you support, expertise, and referrals if needed. They will follow up with you regularly until your case is resolved.

My Ombudsman News