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Department of Health Care Finance - DHCF

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Attention Medicaid beneficiaries: If you received a letter from CareFirst Community Health Plan DC-Experian regarding a data breach, 
click here to get the latest information.

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Our Health Care Outreach/Education Services’ efforts include education on insurance coverage, managed care and your rights to medically necessary health care by your insurance company. We make presentations to community, provider and advocacy groups. For further information, please call (202) 724-7491.

When should you call the Health Care Ombudsman?

If you live or work in the District of Columbia, and...
  • Your insurance company won’t pay a medical bill that you think they should pay;
  • Your doctor or another provider isn’t treating you the way you think they should;
  • You need help finding health care, but don’t know who to call;
  • Your doctor says you need a prescription, but your  insurance company doesn’t agree;
  • Your doctor says you need a test, but your insurance  company says “no”;
  • You want health insurance, but you don’t know who to call;  or
  • Your doctor says you need to stay in the hospital, but your insurance company says you must go home.
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