TDI can help you with issues involving insurance companies, health plans and people we regulate. We don’t regulate most health plans.
TDI doesn’t regulate:
- Self-funded plans.
- Medicare, Medicaid.
- CHIP plans that aren’t HMOs.
- Military plans.
- City, county, state, and federal employee plans.
- Teacher plans.
Not sure what kind of plan you have?
Look at your plan documents or talk to the benefits administrator where you work.
Learn where to get help with your health plan
| Health plan | Organization | Contact information |
|---|---|---|
| Children's Health Insurance Program (CHIP) | Texas Health and Human Services Commission | File a complaint online with HHSC. |
| City and county employees | Cities and counties regulate their own insurance programs. | Send a written appeal or complaint to the address in your patient's benefit booklet. |
| Federal employees, including postal workers | United States Office of Personnel Management | Contact OPM. |
| Health care sharing ministries | Texas Office of the Attorney General | Contact the AG. |
| Medicaid | Texas Health and Human Services Commission | File a complaint online with HHSC. |
| Medicare | U.S. Department of Health and Human Services | Contact Medicare |
| Medicare Advantage | Private health plans approved by CMS | Call your plan. |
| Military service members | TRICARE Standard | Contact TRICARE. |
| Self-funded plans offered by a private-sector employer | U.S. Department of Labor | Contact DOL. |
| Self-funded plans offered by a school district, government, union, or church employer | Follow the complaint procedures in your health plan's benefits booklet and other plan documents. | |
| State employees | Employees Retirement System | Contact ERS. |
| Texas Association of School Boards (TASB) | TASB | Contact TASB. |
| TRS-CARE | Teacher Retirement System of Texas | Contact TRS. |
| University of Texas employees | The University of Texas System | Contact the UT system. |