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OPM.gov / Frequently Asked Questions / Insure FAQ / Health

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Health

Questions and answers

No. There are separate external appeal provisions that apply to health plans participating in the DC Health Link. You can contact the Healthcare Ombudsmen at (877) 685-6391, Monday –Friday from 8:15 AM – 4:45 PM EST, or the Department of Insurance Securities & Banking (DISB) at (202) 727-8000, Monday – Friday from 8:15 AM – 4:45 PM EST. For more information, please contact your agency’s benefits officer.

Control Panel

Health

Questions and answers

If I am enrolled in a DC Health Link plan, will I follow the same claims dispute process as an enrollee in an OPM-contracted FEHB plan, if I disagree with my DC Health Link plan’s decision about benefits coverage or the provision of a medical service?