TDI doesn’t regulate:
- Medicare, Medicaid.
- CHIP plans that aren’t HMOs.
- Military plans.
- City, county, state, and federal employee plans.
- Teacher plans.
For certain out-of-network claim disputes, learn about mediation and arbitration.
| Health plan | Organization | Contact information |
|---|---|---|
| Children's Health Insurance Program (CHIP) | 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 share ministries | Office of the Attorney General of Texas | 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 Novitas Solutions, Inc. |
| Medicare Risk (HMO) | Medicare Risk plans (also known as Medicare+Choice plans) | Call your HMO plan. |
| Military servicemembers | TRICARE Standard | Contact TRICARE. |
| Self-funded plans | U.S. Department of Labor | Contact DOL. |
| State employees | Employee 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. |