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Member ombuds

The Aetna® OhioRISE Ombuds Office works to resolve conflicts. You can bring up any OhioRISE-related concern that affects your health and well-being. After hearing your concerns, we'll work together to review your options and next steps.

Questions?

Call 1-833-711-0773 (TTY: 711). We're here for you Monday to Friday, 8 AM to 5 PM.

Call 1-833-711-0773 (TTY: 711). We're here for you Monday to Friday, 8 AM to 5 PM.

What is an ombuds?

The ombuds is a resource you can use when you need help with a concern about OhioRISE. Our team follows the highest code of ethics outlined by the International Ombuds Association. An ombuds is:
 

  • Independent: While they are part of Aetna OhioRISE, they work independently to serve you.
  • Confidential: They respect your privacy and share your concerns only with those you choose, except when there is a risk of harm to yourself or others, or when the law requires it.
  • Impartial: They promote fair practices and leave their point of view outside the process.
  • Informal: They try to make members feel comfortable with the process. Conversations are open, friendly, and off the record.
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What an ombuds does

Here are some things an ombuds can do:
 

  • Provide guidance and support about hard issues.
  • Process concerns in a confidential and non-judgmental space.
  • Be a partner to find options and solutions.
  • Bring your concerns and ideas to our team to enhance the program.
  • Help you learn how to file a formal complaint or grievance, if you wish to do so.

  • The Aetna OhioRISE Ombuds Office is a resource for OhioRISE:
     

    • Members
    • Families
    • Caregivers
    • Providers
    • Community partners
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