Ombudsman Program

There’s a new resource for beneficiaries enrolled in Cal MediConnect: the Cal MediConnect Ombudsman Program. Now, if you have a problem with your services or Cal MediConnect plan, you can turn to the Ombudsman program for help.

If you are having a problem with your Cal MediConnect plan, try to talk to your doctor and your health plan.  If your plan has denied coverage or payment for a medical service, the plan will have a process for you to appeal that decision.

If the problem is still not fixed, you have more options for help, including the Cal MediConnect Ombudsman program.  The Ombudsman can help you ask for “continuity of care,” which can help you keep seeing your doctors after joining a Cal MediConnect plan.  They can also help you file an appeal if your plan has denied a service or treatment.

Reach Ombudsman services Mon – Fri, 9 a.m. – 5 p.m., by calling (855) 501-3077 (TTY 1-855-847-7914).

You can also visit their website at www.healthconsumer.org.

For more information,

Other resources for help

If you need help understanding your choices, contact the Health Insurance Counseling & Advocacy Program, or HICAP (1-800-434-0222).  If you want to make a change to your health plan, including choosing a different Cal MediConnect plan, a different Medi-Cal plan, or to opt out of Cal MediConnect, contact Health Care Options (1-844-580-7272).

 

Walk-In Addresses

For appointments at all Ombudsman offices, call HCA’s toll-free number, 1-888-804-3536. Business hours will vary by location.
 

CCI county offices

Non-CCI county offices


Los Angeles County

Neighborhood Legal Services of Los Angeles County

  • 13327 Van Nuys Boulevard

    Pacoima, CA 91131

  • 1104 E. Chevy Chase Drive

    Glendale, CA 91205

  • 9354 Telstar Avenue

    El Monte, CA 91731



Orange County

Legal Aid Society of Orange County

2101 N. Tustin Avenue

Santa Ana, CA 92705


San Diego County

Legal Aid Society of San Diego

Consumer Center for Health Education & Advocacy

1764 San Diego Avenue, Suite 200

San Diego, CA 92110


San Mateo County

Legal Aid Society of San Mateo County

330 Twin Dolphin Drive, Suite 123

Redwood City, CA 94065

*Appointments are to be made in advance


Santa Clara County

Bay Area Legal Aid

4 N. Second Street, Suite 600

San Jose, CA 95113


Alameda County

1735 Telegraph Avenue

Oakland, CA 94612


Contra Costa County

1025 Macdonald Avenue

Richmond, CA 94801


Marin/Napa Counties

30 North San Pedro Road, Suite 170

San Rafael, CA 94903


San Francisco County

1035 Market Street, 6th Floor

San Francisco, CA 94103