How to Get Help With Health Insurance Issues in Oklahoma

When you need help with health insurance issues, work with your insurer first to try to resolve any problems. When your insurance company cannot further assist you, Oklahoma residents can contact the Oklahoma Department of Insurance for help. The Oklahoma Department of Insurance provides a formal mechanism to file a complaint and get assistance from their consumer analysts. All complaints sent to the department get assigned to an analyst, who contacts your insurers for response and potential resolution.

Instructions

• 1

  Make sure you understand your health insurance policy. Contact your insurance company to inquire about your issues and get clarity on your options. Read any summary plan description documents or benefit information about your insurance plan for specific details about coverage, authorizations and claims payment. As applicable, appeal any service, benefit and claims denials until you have exhausted this option.

• 2

  Read the consumer information on the Oklahoma Insurance Department's website about health insurance. The information on the website may answer some of your questions and help you understand your issues.

• 3

  Call the Oklahoma Insurance Department's consumer assistance division at 800-522-0071 for help with your insurance issues. If you need help with buying or understanding your insurance or want to discuss an issue, representatives can help you.

• 4

  File a formal complaint with the Oklahoma Insurance Department by filling out the online form, including very detailed information about your issue. You can submit the form online or mail it with any supporting documentation to the address on the form (see Resources). You also can fax it to 405-521-6652. Provide the department with a copy of your policy, any correspondence you've received from your insurance company and a record of your contacts with the insurer.