What is the main role of the Ombudsman/Consumer Assistance Program?

The Ombudsman/Consumer Assistance Program primarily focuses on receiving referrals regarding grievances from marketplace enrollees. This role is vital in ensuring that consumers have a dedicated resource to address their concerns, complaints, and issues related to health insurance coverage obtained through the marketplace. The program helps facilitate communication between consumers and insurance providers, offering support and assistance in navigating the complexities of health insurance.

By acting as a mediator, the Ombudsman can provide valuable guidance on the rights of enrollees, help them understand their options, and ensure that their grievances are properly addressed. This is essential for maintaining consumer trust and satisfaction within the health insurance marketplace, making it a crucial function of the program.