State Health Benefit Plan Complaints

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State of NJ - Department of the Treasury - NJDPB SHBP ...

    https://www.state.nj.us/treasury/pensions/hb-active-shbp.shtml
    State Employees — To be eligible, you must be a full-time employee of the State of New Jersey or be a full-time appointed or elected officer of the State (this includes employees of a State agency or authority and employees of a State college or university). To be considered full …

State Health Benefit Plan Division of Georgia Department ...

    https://shbp.georgia.gov/
    The State Health Benefit Plan (SHBP) is a division of the Georgia Department of Community Health (DCH). It serves as the state’s administrator of he

myshbpga.adp.com

    https://myshbpga.adp.com/shbp/
    If you are unable to access your account, please contact SHBP Member Services via email at [email protected] or by phone at 800-610-1863. Representatives are available throughout the year via phone Mon - Fri 8:30 AM - 5:00 PM and Sat 8:00 AM - 5:00 PM.

N. C. State Health Plan

    https://www.shpnc.org/
    The State Health Plan, an N.C. Department of State Treasurer division provides health coverage to over 720,000 teachers, state employees, retirees, and dependents.

State Health Benefit Plan Better Business Bureau® Profile

    https://www.bbb.org/us/ga/atlanta/profile/accident-insurance/state-health-benefit-plan-0443-17000894
    State Health Benefit Plan Accident Insurance. PO Box 38151. ... BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is ...

Feedback & Complaints Washington Health Benefit Exchange

    https://www.wahbexchange.org/contact-us/feedback-complaints/
    Customer Resources If you’re experiencing issues with Washington Healthplanfinder, please contact the toll-free Customer Support Center at 1-855-923-4633 or a local navigator or broker. Issues with Washington Apple Health Visit the Washington Health Care Authority for information on Washington Apple Health or submit a question online.

Georgia Department of Community Health

    https://dch.georgia.gov/
    The Georgia Department of Community Health (DCH) is one of Georgia’s four health agencies serving the state’s growing population of over 10 million people.

State of NJ - Department of the Treasury - NJDPB Health ...

    https://www.state.nj.us/treasury/pensions/hb-info-active.shtml
    Eligibility for Active Group coverage is determined by the State Health Benefits Program (SHBP). ... Plan Contacts. For more information about any participating plan, click on a link or call the plan's member services number to speak with a plan representative. Learn More. Billing. Please visit for all of your health benefit billing needs ...

Dependent Verification Audit FAQ's State Health Benefit ...

    https://shbp.georgia.gov/member-rates/dependent-verification-audit-faqs
    Why does the State Health Benefit Plan (SHBP) conduct a Dependent Eligibility Verification Audit? The SHBP, by law, can only cover Eligible members and their Eligible dependents. This dependent eligibility verification audit is necessary to ensure that the health plan is compliant with these laws.

State Health Benefit Plan Georgia.gov

    https://georgia.gov/agencies/state-health-benefit-plan
    The State Health Benefit Plan (SHBP) is a Division of the Georgia Department of Community Health. It serves as the state’s administrator of health insurance coverage for state employees, teachers, public school employees, retirees, and former employees, and covered dependents.

Grievances and Appeals Peach State Health Plan

    https://www.pshpgeorgia.com/providers/resources/grievance-process.html
    Peach State Health Plan's provider complaint system permits providers to dispute Peach State Health Plan's policies, procedures, or any aspect of Peach State Health Plan administrative functions (including the process by which Peach State Health Plan handles Adverse Benefit Determinations and Explanation of Payment), other than the specific claims and appeal matters described above.

Who to contact for issues with your employer health plan ...

    https://www.insurance.wa.gov/who-contact-issues-your-employer-health-plan
    The health insurer directly pays claims for the employees and their dependents. If your employer buys its group health plan, for example, from Regence BlueShield, or Aetna Life Insurance Company, then it may be an insured health plan. Insured health plans are governed by both federal and state laws.

Complaints and Appeals - New York State Department of Health

    https://www.health.ny.gov/health_care/managed_care/complaints/index.htm
    Refer to your member handbook to learn how to use the plan´s complaint/grievance process or call the plan´s member services or complaint/grievance phone line listed on your health plan identification card. Managed care plans certified by the Department of Health must have a process to receive and respond to complaints and grievances.

We’ve moved – visit our new website! Washington State ...

    https://www.hca.wa.gov/ump/we-ve-moved-visit-our-new-website
    What will I find on the new website? We’ve simplified your online experience to make it easier to learn about UMP’s 2020 medical and prescription drug coverage, plan costs, and health and wellness programs. With a helpful home page, you’re only one click away from searching for providers in your network, understanding plan costs, and finding contact information.

Consumer Services: Complaint Process - Georgia

    https://www.oci.ga.gov/consumerservice/complaint.aspx
    What types of complaints the Consumer Division can handle? We handle most insurance problems involving home, business, auto, health, HMO, life, credit, dental, etc. Those problems may include coverage issues, claim disputes, premium problems, sales misrepresentations, policy cancellations, and refunds, just to name a few.

Health insurance complaints - tdi.texas.gov

    https://www.tdi.texas.gov/consumer/health-complaints.html
    Short-term insurance and other limited benefit plans. Not sure? Call us at 1-800-252-3439, and we’ll check to see what agency regulates your plan. What you do first, depends on your issue: The insurance company denied a service my doctor says I need. The insurance company denied a service because it said my health plan doesn’t cover it.

Oregon Health Authority : Complaints and Appeals : Oregon ...

    https://www.oregon.gov/oha/HSD/OHP/Pages/Complaints-Appeals.aspx
    Oregon Health Plan Member Complaints and Appeals Learn more about what OHP members can do when they disagree with a decision by a plan or OHA about paying for health care services. See the OHP General Rules (410-120-1860) for more about fee-for-service hearings.

IDOI: Resolving Health Care Insurance Disputes

    https://www.in.gov/idoi/2572.htm
    Sometimes self-funded health benefit plans are confused with fully insured benefit plans. Employers often hire an insurance company, an HMO, or a third party administrator to process claims for a self-funded health benefit plan. If you do not know what kind of plan you have, review any written plan information you have been given.

Financial Help Washington Health Benefit Exchange

    https://www.wahbexchange.org/new-customers/financial-help/
    Tier 4 is the lowest discount, where the health plan covers 73% of the costs* Tier 5 is the middle discount, where the health plan covers 87% of the costs* Tier 6 is the biggest discount, where the health plan covers 94% of the costs* *This cost-sharing is only available when you …



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