My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
The first thing you need to do is file a complaint with your health plan. Follow the steps below to file a complaint and appeal with your health plan:
Below are links to the complaint forms for Texas’ top health plans:
You have the right to file a complaint with the Texas Department of Insurance (TDI) if you have a problem getting the services you need, including quality and affordable health care. To file a complaint you must first complete your health plan’s appeal process.
If your health plan denied your treatment because it said the treatment wasn’t medically necessary, you may be able to request an Independent Review Organization (IRO) review.
My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
Find answers to commonly asked questions.
State and federal law protects your rights. When you sign up for a health plan and/or if you have problems accessing care through your health plan, it is important to know your rights.